Comparative Study of Muscle Transplantation Versus Y Splitting Recession Technique in Treatment of Large Angle Exotropia

Ain Shams University

Status: Enrolling

Conditions: Exotropia

Treatments: Procedure: Y splitting; Procedure: muscle transplantation

Study type: Interventional

Funder types: Other

Identifiers

NCT07350330

FMASU MD223/2025

Details and patient eligibility

About

This study is designed to correct large-angle exotropia by monocular surgery. It compares two augmented recession techniques, which are recession with muscle transplantation and recession with Y splitting.

Enrollment: 30 estimated patients

Sex: All

Ages: 6+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age should be of more than 6 years Exotropia of an angle ranging from 50 to 70 PD Myopic or hypermetropic refraction

Exclusion criteria

• history of previous squint surgery significant vertical deviation incomitant squint in the form of paralytic or restrictive disorder any neurological disease

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Muscle transplantation

Active Comparator group

Description:

This group will undergo medial rectus resection, lateral rectus recession, with muscle transplantation

Treatment:

Procedure: muscle transplantation

Y splitting

Active Comparator group

Description:

This group will undergo medial rectus resection, lateral rectus recession, with Y splitting

Treatment:

Procedure: Y splitting