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Jae Ho Jung, Hee-Young Choi, Ji-Eun Lee, Seung ho Cho, Ji Eun Lee, Ik Soo Byon; Medial Rectus Pulley Posterior Fixation for Divergence excess Intermittent Exotropia with high AC/A Ratio. Invest. Ophthalmol. Vis. Sci. 2013;54(15):4712.
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To evaluate the efficacy of medial rectus pulley posterior fixation combined with bilateral rectus recession for patients with intermittent exotropia with high AC/A ratio.
In this study, we enrolled seven patients with exo-deviation ≥10 prism diopters greater at distance than at near fixation and with a high AC/A ratio who underwent bilateral lateral rectus recession to eliminate the exotropia at distance and pulley posterior suturing on both medial rectus muscles to prevent consecutive esotropia at near fixation.
: Five of seven patients achieved successful surgical results, and one patient required postoperative bifocal correction for postoperative eso-deviation at near fixation.
Bilateral lateral rectus recession with medial rectus pulley posterior fixation for intermittent exotropia with a high AC/A effectively corrected exodeviation at a distance and prevented consecutive esotropia and bifocal lens use.
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