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S. H. Rah, W. Lee, S. Hong, S. Kim, S.-H. Han; Effects of Axial Length on the Horizontal Recti Recession in Children With Horizontal Strabismus. Invest. Ophthalmol. Vis. Sci. 2010;51(13):3013. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
To assess the influence of axial length on the surgical outcome of horizontal recti recession in children with horizontal strabismus.
This study retrospectively reviewed the medical records of a hundred children who underwent the horizontal recti recession for horizontal strabismus. Only patients who were included in the analysis were followed for at least 12 months, and the same investigator obtained all the preoperative and postoperative data. The following data were analyzed before and after the operation: (1) the angle of deviation (AOD) in the primary position, (2) the refractive errors, (3) the axial length, and (4) the procedure that was performed.
Lateral rectus recession was performed for 89 cases and medial rectus recession was performed for 11 cases. Spherical equivalent of refractive errors was -0.54 ± 2.02 diopters and axial length was 23.21 ± 1.38 mm. The recession amount was 6.89 ± 1.13 mm. By the multiple linear regression analysis, age, preoperative AOD, and axial length influenced to the postoperative AOD.
In long eyes, the surgical outcome of horizontal recti recession seems to be poor than short eyes. It may be better to adjust the recession amount when clinicians perform the horizontal recti recession in long eyes.
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