J Korean Ophthalmol Soc.  2003 Jul;44(7):1567-1571.

Clinical Significance of Refixation Time in Intermittent Exotropia

• Lee HS
• Lew H
• Choi HJ

Abstract

PURPOSE
We compared the clinical significance of refixation time with other visual function tests in the aspect of the operation success rate in the intermittent exotropia patients. METHODS: This study included 40 intermittent exotropia patients who received bilateral lateral rectus muscle recession from August 2001 to March 2002. We evaluated pre-operation corrected vision, deviation angle, axial length, Worth 4 dot test and titmus test. We also checked refixation time for which deviated eye return to orthophoric position. And we observed their progress for at least 6 months. RESULTS: Refixation time was significantly(P<0.05) correlated with deviation angle. Refixation time corrected by deviation angle was defined as corrected refixation time and it was significantly(P<0.05) short in non-amblyopia group, good stereopsis group and fusion group than amblyopia group, poor stereopsis group and non-fusion group. Also it was observed to be short in success group than in failure group(P<0.05). CONCLUSIONS: Because refixation time is relative easy to measure without specific equipment, refixation time should be used in patients who are poorly-cooperated and difficult to measure binocualr function with the degree of strabismus. And it may be considered a factor that affects operation success rate.

Keyword

Binocular function; Intermittent exotropia; Refixation time

MeSH Terms

Amblyopia
Depth Perception
Exotropia*
Humans
Strabismus