{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T00:33:13Z","timestamp":1774053193798,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T00:00:00Z","timestamp":1694131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>This study aimed to compare the periods for exodrift stabilization and the long\u2010term surgical outcomes among different surgical methods in intermittent exotropia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The medical records of 350 patients who had undergone intermittent exotropia correcting surgery [unilateral lateral rectus recession\u2013medial rectus resection (R&amp;R, <jats:italic>n<\/jats:italic>\u2009=\u2009221), bilateral lateral rectus recession (BLR, <jats:italic>n<\/jats:italic>\u2009=\u200951) and unilateral lateral rectus recession (ULR, <jats:italic>n<\/jats:italic>\u2009=\u200978)] with a postoperative follow\u2010up period of 1.5\u2009years or more were retrospectively reviewed. The deviation angles every 6\u2009months after surgery, periods of exodrift stabilization and surgical outcomes were analysed. The period of postoperative exodrift stabilization was defined as when exodrift was no longer significantly different from that at the next visit (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). An alignment of 5 PD (prism diopters) esotropia to 10 PD exotropia at a distance and near fixation was considered surgical success.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean angle of exodeviation was significantly different among surgical procedures at postoperative 1\u2009month (BLR\u2009&gt;\u2009ULR\u2009&gt;\u2009R&amp;R, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001); however, there were no differences among the procedures at 6\u2009months (<jats:italic>p<\/jats:italic>\u2009=\u20090.088). The periods of exodrift stabilization were 6\u2009months after ULR, 1\u2009year after BLR and 4.5\u2009years after R&amp;R. The surgical success and reoperation rates did not show significant differences among procedures at the final follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients undergoing R&amp;R showed smaller exodeviation shortly after surgery but required a longer period to stabilize the exodrift. Following ULR, exodeviation was larger in the early postoperative period, but the exodrift was stabilized earlier. Therefore, the long\u2010term surgical outcomes were similar among ULR, BLR and R&amp;R.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.15757","type":"journal-article","created":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T06:38:56Z","timestamp":1694241536000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Analysis of postoperative exodrift according to surgical methods for intermittent exotropia"],"prefix":"10.1111","volume":"102","author":[{"given":"Hye Jun","family":"Joo","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Hallym University College of Medicine, Kangnam Sacred Heart Hospital  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4086-188X","authenticated-orcid":false,"given":"Dong Gyu","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology Hallym University College of Medicine, Kangnam Sacred Heart Hospital  Seoul Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9394(65)93991-7"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2005.11.015"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2011.06.024"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.3928\/0191-3913-20030901-09"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2008.06.001"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1978.03910050136006"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3928\/1542-8877-19990201-07"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2005.11.021"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2013-304627"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/aos.12849"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2415-14-46"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjophthalmol-2013-303171"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/09273970802678750"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.116.3.324"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-5155(00)00351-8"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2011.12"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2012.55"},{"key":"e_1_2_8_19_1","first-page":"265","article-title":"Intermittent exotropia surgery in children: Long term outcome regarding changes in binocular alignment. 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