THE MANAGEMENT OF CONSECUTIVE EXOTROPIA CASES FROM ESKISEHIR


Gürsoy H. H., Bilgeç M. D.

EPOMEC, Dubai, Birleşik Arap Emirlikleri, 4 - 07 Aralık 2025, ss.1, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Dubai
  • Basıldığı Ülke: Birleşik Arap Emirlikleri
  • Sayfa Sayıları: ss.1
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

Purpose: This study aimed to evaluate the outcomes of surgical treatments applied to patients diagnosed with consecutive exotropia (CXT) at Eskişehir Osmangazi University Faculty of Medicine, Department of Ophthalmology.

Method: Patients who underwent surgical intervention for CXT between December 2013 and December 2023 were included. Inclusion criteria: having undergone surgery for CXT, complete basic ophthalmological examination records, and a minimum follow-up of 12 months.

A total of 46 patients (30 males, 16 females) were evaluated. CXT surgery was performed on average 74.1±41.4 months after the first surgery. The mean follow-up period was 18.2±11.3 months. Best-corrected visual acuity, presence of amblyopia, time elapsed after the first surgery, and surgical techniques used were analyzed. In postoperative orthoptic evaluations, deviations of 10 prism diopters (PD) or less were accepted as surgical success.

Results: The mean deviation angle before CXT surgery was 33.3±9.6 PD (range: 20–50), which decreased to 6.2±7.5 PD (range: 0–25) at the final visit, and surgical success was achieved in most cases. A total of 12 patients required additional surgery. Among all cases, 9 patients (20%) were unsuccessful, and 3 of them underwent reoperation. Amblyopia was present in 30 patients (65%), and 7 of the 9 unsuccessful cases had amblyopia.

Conclusion: Based on the findings, long follow-up duration and the presence of amblyopia are considered risk factors for the development of CXT. Long-term follow-up is recommended, considering the possibility of reoperation.

Keywords: consecutive exotropia (CXT), amblyopia