{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T05:15:31Z","timestamp":1763442931617,"version":"3.45.0"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Ophthalmol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intermittent exotropia (IXT) is a common form of strabismus, often treated surgically to improve ocular alignment and binocular vision. This study compares the outcomes of two surgical techniques: bilateral lateral rectus recession (BLRR) and unilateral lateral rectus recession combined with medial rectus muscle resection (ULRRMMR), focusing on sensory eye alignment, stereopsis function, and binocular vision recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective study included 306 children with intermittent exotropia, assigned to either the BLRR or ULRRMMR group. Participants were evaluated preoperatively and at 1-, 3-, and 12-months post-surgery for sensory alignment, stereopsis, binocular vision, and complications. Statistical analyses were conducted to compare the outcomes between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After surgery at one day, overcorrection was observed more frequently in the BLRR group (P\u00a0=\u00a00.02). A comparison of the two surgical approaches revealed that the BLRR group demonstrated significantly greater improvements in sensory eye alignment (P\u00a0=\u00a00.009). In contrast, the ULRRMMR group showed superior outcomes in terms of foveal stereopsis (P\u00a0=\u00a00.01), binocular vision recovery (P\u00a0=\u00a00.007), and achieving normal eye alignment (P &amp;lt; 0.001) at 12 months. Notably, there was no significant difference in the rate of complications or binocular vision recovery between the two groups at the 12-month follow-up (P\u00a0=\u00a00.822).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both BLRR and ULRRMMR are effective treatments for intermittent exotropia, but the BLRR may be a more optimal choice for enhancing sensory alignment, while ULRRMMR technique offers superior recovery in terms of stereopsis, and binocular vision recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fopht.2025.1687829","type":"journal-article","created":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T05:13:17Z","timestamp":1763442797000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral lateral rectus muscle recession versus unilateral lateral rectus recession 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