ABSTRACT

ABSTRACT: Introduction: Consecutive exotropia (CXT) is a well-known phenomenon found after various surgeries for esotropia (ET). We investigated the characteristics of these patients and the results of the surgery for CXT in this study. Materials and methods: We reviewed the files of patients who underwent surgery for CXT between 1995-2002 at Beyog˘lu Eye Research and Education Hospital. We used Wilcoxon signed Ranks tests as statistical method for evaluation. Results: There was 28 patients who underwent surgery for CXT. Mean age was 18,21 17,07 (range 3-73) years. The average preoperative deviation was (29,29 13,35) prism diopters (pd) (range 10-58 pd XT ) at near fixation and (25,39 15,7) pd (range 0-58 pd XT) at distance fixation. The postoperative average deviation was (1,18 7,11) pd (range 15 ET-18 pd XT) at near fixation and (0,96 7,5) pd (range 25 ET-16 pd XT) at distance fixation. 3 patients had 10 pd of exotropia while 1 had 10 pd of esotropia. One surgery had enough at 24 (85,7%) patients 4 (14,2%) patients required 2 surgeries for CXT. Mean follow up was 9,43 5,6 (range 6-28) months. There are statistically significant difference between preoperative and postoperative near deviations and between preoperative and postoperative distance deviations (p 0.001, p 0.001). Conclusions: Good alignment can be achieved after surgery for CXT.