Surgery for Large Angle Exotropia Two Muscles Versus Three Muscles (XT)

Cairo University (CU)

Status: Completed

Conditions: Exotropia

Treatments: Procedure: surgery

Study type: Interventional

Funder types: Other

Identifiers

NCT05643456

RIO

Details and patient eligibility

About

Comparison Between The Results Of Two Muscles Surgery And Three Muscles Surgery For The Treatment Of Large Angle Exotropia

Full description

Exotropia is classified as Primary which includes constant and intermittent exotropias. Secondary XT include Sensory and consecutive XT. Management for IXT consists of non-surgical and surgical treatment. There is some controversy regarding the optimal surgical method varying between bilateral lateral rectus recession (BLR), unilateral lateral rectus recession-medial rectus resection (RR) and bilateral medial rectus resection (BMR).

Enrollment: 69 patients

Sex: All

Ages: 5+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients above age of 5 years with concomitant Exotropia of (40-55) PD of any type.

Exclusion criteria

1. Angle of deviation less than 40 PD or more than 55 PD.
2. History of previous surgery.
3. Inconcomitant exotropia.
4. Incomitance in any gaze.
5. Associated vertical deviation(oblique dysfunction,A or V pattern).
6. Patients with neurological deficit.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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69 participants in 2 patient groups

group 1 :Two muscle surgery

Active Comparator group

Description:

30 patients will underwent two muscle surgery(bilateral lateral rectus muscle recession)

Treatment:

Procedure: surgery

group 2:Three muscle surgery

Active Comparator group

Description:

39 patients underwent three muscle surgery(bilateral lateral rectus muscle recession with unilateral medial rectus muscle tucking)

Treatment:

Procedure: surgery