African Economic History American Orthoptic Journal Arctic Anthropology Constitutional Studies Contemporary Literature Ecological Restoration Ghana Studies Journal of Human Resources Land Economics Landscape Journal Luso-Brazilian Review Monatshefte Native Plants Journal SubStance University of Wisconsin Press Journals
Home
Advertisting
Customer Service
For Libraries
Subscribe
Subscription Agencies
 

UW Madison

American Association of University Presses

 

American Orthoptic Journal Abstract

To request a single copy of any journal article, contact us at: 608 263-0654 (voice), or journals@wwwtest.uwpress.wisc.edu (email). Articles will be photocopied and mailed within two business days. Please prepay with VISA or MasterCard. Articles up to 29 pages in length are priced at $15.00. Articles containing 30 or more pages are priced at $25.00. For article reprints in quantities of 25-500 please use our online reprint ordering system by clicking Reprint Orders.

 

Volume 42, 1992, p. 8893

Undercorrections Following Surgery for Exotropia (Abstract)
Craig A. McKeown, M.D.


Surgery is performed for a variety of types of exodeviations as well as for a number of different purposes, including visual development, resolution of diplopia, and reconstruction. Undercorrections are statistically predictable, relatively common, and unavoidable with current techniques. Undercorrections may be apparent immediately after surgery, develop during the early postoperative period, or evolve months to years after the original procedure.

 

Undercorrections should be evaluated in the context of the original reason for surgical intervention while considering the magnitude of the exodeviation, the patient's ability to control the deviation, and the potential impact of the undercorrection on the patient's motor and sensory status. A number of therapeutic options are available for the management of undercorrections. Orthoptic approaches include occlusion, red lenses, stimulation of accommodation, and prisms. When reoperation is necessary, the choice of procedure depends upon the type of exodeviation, the initial operation, and the unique sensory and motor characteristics of the individual patient.