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Article
August 1969

Recession of the Lateral RectiEarly and Late Postoperative Alignments

Author Affiliations

New York; Washington, DC
From the Department of Ophthalmology, Children's Hospital of the District of Columbia, Washington, DC. Dr. Raab is presently at the Mount Sinai School of Medicine, New York.

Arch Ophthalmol. 1969;82(2):203-208. doi:10.1001/archopht.1969.00990020205010
Abstract

The results of recession of the lateral recti as a first procedure for exodeviation are compared for several initial (two to ten day) postoperative alignments. Eighty percent of all initial postoperative alignments changed by the eighth week, 71% becoming more divergent. Eighty-one percent of initial postoperative alignments between 11 and 20Δ of esodeviation remained satisfactory, as did 60% of initial esodeviations of up to 10Δ. Initial postoperative orthophoria and exodeviation up to 10Δ remained satisfactory in 38% and 37% cases, respectively. Persisting overcorrections occurred in 7% of initial esodeviations, while 32% of orthophoric or small exodeviated alignments converted to undercorrections by the eighth postoperative week. The importance of comparing initial postoperative alignments in evaluating the results of surgical procedures for exodeviation is stressed.

References
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2.
Parks, M.M.:  "Extropia" (round table discussion) , in Haik, G.M. (ed.): Strabismus Symposium of the New Orleans Academy of Ophthalmology , St. Louis: The C. V. Mosby Co., 1962, pp 334-343.
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Raskind, R.H., and Burian, H.M.:  Bilateral Resections: Evaluation of Results of Bilateral Lateral Rectus Resections and Bilateral Medial Rectus Resections at the University of Iowa, 1946-1966 , Amer J Ophthal 64:78-89 ( (July) ) 1967.
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