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Surgical management of intermittent exotropia (IXT) in children: a literature review
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Orientador(es)
Resumo(s)
Introduction: Surgical treatment of intermittent exotropia (IXT) in children presents variable outcomes due to diverse surgical techniques, success definitions, and follow-up durations. There is a need to clarify factors influencing prognosis to guide clinical decisions. Methods: This review synthesizes published studies assessing surgical outcomes in pediatric IXT, focusing on success rates, criteria used, surgical approaches, and predictive factors influencing long-term results. Results: Short- and medium-term motor success rates are generally high; however, outcomes tend to decline over time, mainly due to postoperative exodrift, resulting in recurrence and reoperation. Unilateral recess-resect procedures showed better long-term results in some cohorts, while modified techniques like slanted lateral rectus recession yielded promising results in specific IXT subtypes. Preoperative sensory function and deviation control were significant predictors of success. Conclusion: Surgical outcomes in pediatric IXT vary widely, highlighting the importance of standardized success criteria, including sensory and motor measures. Extended follow-up and patient-specific surgical planning are essential for optimizing results. Future prospective research with uniform methodologies is necessary to improve treatment strategies.
Descrição
Palavras-chave
Ophthalmology Intermittent exotropia Strabismus Pediatric ophthalmology Surgical outcomes
Contexto Educativo
Citação
Lino PM, Aguiar P, Cunha JP. Surgical management of intermittent exotropia (IXT) in children: a literature review. J Clin Surg Sci. 2025;1(2).