{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T21:04:06Z","timestamp":1780693446526,"version":"3.54.1"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T00:00:00Z","timestamp":1702512000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T00:00:00Z","timestamp":1702512000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Ophthalmol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This study evaluate the efficacy of part-time patching in preventing recurrence after bilateral lateral rectus recession (BLR) in patients with intermittent exotropia (IXT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 190 children aged 3\u201313 years who experienced recurrence after BLR for IXT and received part-time patching were retrospectively reviewed. The patching was prescribed for 2\u00a0h per day for more than 6 months. Patients who had a recurrence of 18 PD or more underwent reoperation. Changes in exodeviation and reoperation ratio after part-time patching were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 34 patients (17.9%) received reoperation after part-time patching, and the reoperation ratio after 2 years was 20.3% as per the Kaplan\u2013Meier survival analysis. Patients with a recurrence of 7 to 10 PD showed a significantly better effect compared to those with a recurrence of more than 10 PD (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and the reoperation ratio was also lower in the survival analysis (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004). The factor associated with reoperation in patients with part-time patching was the duration between the operation and the initiation of part-time patching (hazard ratio [HR]\u2009=\u20091.006,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Part-time patching was effective in maintaining the efficacy of surgery and delaying the need of reoperation after BLR. This effect was better in patients with a recurrence of \u2264\u200910 PD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12886-023-03259-8","type":"journal-article","created":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T10:02:36Z","timestamp":1702548156000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Efficacy of part-time patching in preventing recurrence after bilateral lateral rectus recession in children with intermittent exotropia"],"prefix":"10.1186","volume":"23","author":[{"given":"Jae Yong","family":"Han","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinu","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sueng-Han","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,12,14]]},"reference":[{"issue":"1","key":"3259_CR1","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.ophtha.2004.07.033","volume":"112","author":"M Govindan","year":"2005","unstructured":"Govindan M, Mohney BG, Diehl NN, Burke JP. Incidence and types of childhood exotropia: a population-based study. Ophthalmology. 2005;112(1):104\u20138.","journal-title":"Ophthalmology"},{"issue":"5","key":"3259_CR2","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1016\/j.jaapos.2011.05.011","volume":"15","author":"Z Lim","year":"2011","unstructured":"Lim Z, Seenyen L, Quah BL. Characteristics of divergence excess type intermittent exotropia in Asian children. J AAPOS. 2011;15(5):468\u201372.","journal-title":"J AAPOS"},{"issue":"7","key":"3259_CR3","doi-asserted-by":"publisher","first-page":"e984","DOI":"10.1111\/aos.14726","volume":"99","author":"X Wang","year":"2021","unstructured":"Wang X, Zhu Q, Liu L. Efficacy of bilateral lateral rectus recession versus unilateral recession and resection for basic-type intermittent exotropia: a meta\u2010analysis. Acta Ophthalmol. 2021;99(7):e984\u201390.","journal-title":"Acta Ophthalmol"},{"key":"3259_CR4","doi-asserted-by":"crossref","unstructured":"Hatt SR, Gnanaraj L. Interventions for intermittent exotropia. Cochrane Database of Systematic Reviews 2013(5).","DOI":"10.1002\/14651858.CD003737.pub3"},{"key":"3259_CR5","doi-asserted-by":"crossref","unstructured":"Hoyt CS, Pesic A. The many enigmas of intermittent exotropia. Br J Ophthalmol 2012: 1280\u20132.","DOI":"10.1136\/bjophthalmol-2012-302345"},{"issue":"5","key":"3259_CR6","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1016\/j.jaapos.2019.06.010","volume":"23","author":"BJ Kushner","year":"2019","unstructured":"Kushner BJ. Conservative management of intermittent exotropia to defer or avoid Surgery. J AAPOS. 2019;23(5):256. e251-256. e256.","journal-title":"J AAPOS"},{"key":"3259_CR7","doi-asserted-by":"crossref","unstructured":"Freeman RS, Isenberg SJ. The use of part-time occlusion for early onset unilateral exotropia. 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Because the study was conducted retrospectively based on the patients\u2019 previous medical records, the need for informed consent was waived by Severance Hospital Institutional Review Board. This study was performed in accordance with the tenets of the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable. No identifiable information of participants is revealed in this submission.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Not applicable. None of the authors has any conflicts of interest to disclose.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"510"}}