Literature DB >> 27523160

Comment on "Exotropia Is the Main Pattern of Childhood Strabismus Surgery in the South of China: A Six-Year Clinical Review".

Onder Ayyildiz1, Osman Melih Ceylan2, Fatih Mehmet Mutlu1.   

Abstract

Entities:  

Year:  2016        PMID: 27523160      PMCID: PMC4976143          DOI: 10.1155/2016/8251629

Source DB:  PubMed          Journal:  J Ophthalmol        ISSN: 2090-004X            Impact factor:   1.909


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We congratulate Yu et al. for their successful results where they evaluated the pattern distribution and the changes of strabismus surgery in pediatric population [1]. The authors observed that surgery for childhood exotropia was more common than surgery for esotropia in China and they stated that strabismus type and onset age were found to be associated with binocular function for subjects with older onset age and intermittent exotropia. Intermittent exotropia (X(T)) is the most common form of childhood exotropia [2]. It has various nonsurgical treatment options such as patching, orthoptic therapy, and over-minus lenses; however, surgical treatment is the major curative option [3]. The type of X(T) and the timing of surgery for pediatric patients are important because of the risk of developing a suppression scotoma and monofixation esotropia, which can lead to loss of stereopsis and amblyopia [4]. In the present study, the authors did not mention strabismus subtypes; it would be better to establish the strabismus subtypes per age groups. We also kindly ask what inclusion and exclusion criteria were followed to decide surgery for both exotropia and esotropia. We noticed that the authors evaluated only near stereopsis with Titmus test. It was believed that distance stereoacuity and control of strabismus are more objective to decide the timing of surgery [5]. We kindly suggest that the authors evaluate the changes in binocular visual function in patients with X(T) of different ages preoperatively and postoperatively.
  4 in total

1.  Improvement in fusion and stereopsis following surgery for intermittent exotropia.

Authors:  Xueliang Feng; Xinxin Zhang; Yading Jia
Journal:  J Pediatr Ophthalmol Strabismus       Date:  2015 Jan-Feb       Impact factor: 1.402

2.  Common forms of childhood exotropia.

Authors:  Brian G Mohney; Roland Keith Huffaker
Journal:  Ophthalmology       Date:  2003-11       Impact factor: 12.079

3.  Survival analysis following early surgical success in intermittent exotropia surgery.

Authors:  Joo Yeon Lee; Sung Ju Ko; Sung Uk Baek
Journal:  Int J Ophthalmol       Date:  2014-06-18       Impact factor: 1.779

Review 4.  Exotropia Is the Main Pattern of Childhood Strabismus Surgery in the South of China: A Six-Year Clinical Review.

Authors:  Xinping Yu; Zhouduo Ji; Huanyun Yu; Meiping Xu; Jinling Xu
Journal:  J Ophthalmol       Date:  2016-02-28       Impact factor: 1.909

  4 in total
  1 in total

1.  Response to: Comment on "Exotropia Is the Main Pattern of Childhood Strabismus Surgery in the South of China: A Six-Year Clinical Review".

Authors:  Xinping Yu; Zhouduo Ji; Huanyun Yu; Meiping Xu; Jinling Xu
Journal:  J Ophthalmol       Date:  2017-03-16       Impact factor: 1.909

  1 in total

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