{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T16:29:12Z","timestamp":1790094552634,"version":"4.0.1"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare bilateral lateral rectus recession (BLR) with unilateral recession and resection (RR) for divergence excess intermittent exotropia (IXT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective analysis of 66 patients with divergence excess IXT who underwent either BLR or RR from January 2013 to December 2020 was conducted. Data on demographics, pre- and postoperative deviations, fusion, stereopsis, control, and accommodative convergence\/accommodation ratio were collected. Success was defined as esodeviation \u22645 PD (prism diopter) to exodeviation \u226410 PD with a follow-up time of at least 8.0 \u00b1 2.0 weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      BLR (42 cases) and RR (24 cases) groups had the same success rate (83.3%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.688) and similar reduced postoperative deviations both in distance and at near (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05). Near-distance disparity decreased significantly in both groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.000) with no intergroup difference (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.193).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>BLR and RR were equally effective for divergence excess IXT with comparable outcomes of both distance and near deviations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_2977_22","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T11:18:56Z","timestamp":1697800736000},"page":"3558-3562","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Surgical outcomes of bilateral lateral rectus 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