Surgical Outcomes in Patients with Intermittent Exotropia with Siblings Who Underwent Surgery by the Same Surgeon

Chae Won Lim, Won Jae Kim
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Abstract

Purpose: We evaluated surgical outcomes in pediatric patients with intermittent exotropia with and without a family history of exotropia surgery performed by the same surgeon.Methods: We conducted a retrospective review of the medical records of pediatric patients aged ≤ 18 years who underwent surgery for intermittent exotropia between September 2015 and December 2021. We compared surgical outcomes between patients with and without a family history of exotropia surgery performed using 1:1 propensity score matching. A successful surgical outcome was defined as achieving alignment between an exodeviation of 10 prism diopters (PD) and an esodeviation of 4 PD.Results: This study included 60 patients with a family history of exotropia surgery and 60 matched controls with no such history. Notably, the log-rank test revealed no significant differences in surgical outcomes between the two groups (p = 0.622). Furthermore, clinical characteristics, including the onset of exotropia, degree of ocular deviation, and age at surgery, were similar between first- and second-born siblings. Furthermore, no significant differences were observed in surgical outcomes between the two groups (p= 0.540).Conclusions: Patients with a family history of exotropia surgery do not exhibit significantly different surgical outcomes compared to those with no such history. In addition, no significant differences were observed in surgical outcomes between the first- and second-born siblings.
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有兄弟姐妹的间歇性外斜患者接受同一外科医生手术的手术结果
目的:我们评估了间歇性外斜的儿科患者的手术效果,这些患者是否有家族史,是否由同一外科医生进行过外斜手术:我们对2015年9月至2021年12月期间因间歇性外斜接受手术治疗的18岁以下儿童患者的病历进行了回顾性审查。我们采用 1:1 倾向评分匹配法比较了有外斜视手术家族史和无家族史患者的手术结果。成功的手术结果被定义为外差达到10个棱镜屈光度(PD)和内斜达到4个棱镜屈光度(PD)之间的配准:这项研究包括 60 名有外斜视手术家族史的患者和 60 名无此类病史的匹配对照组。值得注意的是,对数秩检验显示两组患者的手术结果无明显差异(P = 0.622)。此外,头胎和二胎兄弟姐妹的临床特征(包括外斜的发病时间、眼球偏斜程度和手术年龄)相似。此外,两组患者的手术结果也无明显差异(P= 0.540):结论:与无外斜视手术家族史的患者相比,有外斜手术家族史的患者的手术效果没有明显差异。结论:有家族外斜手术史的患者与无家族外斜手术史的患者相比,手术效果并无明显差异。此外,第一胎和第二胎兄弟姐妹的手术效果也无明显差异。
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