Effects of bilateral lateral rectus recession in treatment of children with intermittent exotropia
Objective:To observe effects of bilateral lateral rectus recession in treatment of children with intermittent exotropia.Methods:A prospective study was conducted on 80 children with intermittent exotropia admitted to this hospital from June 2021 to June 2022.They were divided into control group and observation group according to the random number table method,40 cases in each group.The control group was treated with monocular lateral rectus recession combined with medial rectus shortening,while the observation group was treated with binocular lateral rectus recession.The correction effects,the strabismus degree before and after the surgery,the fusion function recovery rate,the stereoscopic function recovery rate,and the recurrence rate were compared between the two groups.Results:The correction rate of the observation group was higher than that of the control group,the undercorrection rate was lower than that of the control group,and the differences were statistically significant(P<0.05).After the surgery,the near vision and far vision of the two groups were lower than those before the surgery,those of the observation group were lower than the control group,and the differences were statistically significant(P<0.05).The fusion function recovery rate and the stereoscopic recovery rate in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the recurrence rates of 6 months and 1 year in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:Bilateral lateral rectus recession for the children with intermittent exotropia can improve the correction rate,the fusion function recovery rate and the stereoscopic recovery rate,and reduce the undercorrection rate,the strabismus degree and the recurrence rate.Moreover,it is superior to monocular lateral rectus recession combined with medial rectus shortening.