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Interocular difference associated with myopic progression following unilateral lateral rectus recession in early school-aged children

  • Clinical Investigation
  • Published:
Japanese Journal of Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To compare refractive changes in operated eyes and fellow unoperated eyes following unilateral lateral rectus recession in early school-aged children.

Study design

A retrospective case control study.

Methods

The medical records of children under ten years of age with intermittent exotropia who underwent unilateral lateral recession surgery were reviewed. The operated eyes were reviewed and the fellow unoperated eyes were used as control. The rate of myopic progression was calculated by spherical equivalent (SE) changes per year, and by the rate of refractive growth (RRG) equation.

Results

SE showed a myopic shift one week after surgery and in the following months, from -1.43 ± 1.84 diopters (D) at 1 week post operation to -1.57 ± 2.22 D at one year and, finally -2.95 ± 2.97 D at the average 4.62 years following surgery. However, the SE shift was not significantly different from the unoperated eye. The low myopia group (under -3.0 D) showed a significantly higher myopic change in the operated eye until one year post operation (p = 0.022). The average myopic shift ratio was -0.53 ± 0.46 D yearly in the operated eye.

Conclusions

This study presents data of a large series of refractive changes secondary to lateral rectus recession, and of long-term myopia progression in Korean population.

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Acknowledgements

There is no competing interest for any of the authors. This study was supported by the Catholic Medical Center Research Foundation made in the program year of 2018. Design of the study (Y.P., S.H.P., S.Y.S.), collection of the data (Y.P. and Y.J.A.), management and analysis of the data (Y.P.), interpretation of the data (Y.P. and S.Y.S.), writing of the article (Y.P. and Y.J.A.), approval of the manuscript (Y.P., S.H.P., S.Y.S.), obtaining of funding (S.Y.S.), searching the literature (Y.P.).

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Authors and Affiliations

  1. Department of Ophthalmology and Visual Science, College of Medicine, Seoul St. Mary’s Hospital, The Catholic University of Korea, Banpo-daero 222, Seocho-gu, Seoul, 06591, Republic of Korea

    Yooyeon Park, Ye Jin Ahn, Shin Hae Park & Sun Young Shin

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  1. Yooyeon Park
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  2. Ye Jin Ahn
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  3. Shin Hae Park
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Corresponding author

Correspondence to Sun Young Shin.

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Y. Park, None; Y. J. Ahn, None; S. H. Park, None; S. Y. Shin, None.

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Corresponding Author: Sun Young Shin

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Park, Y., Ahn, Y.J., Park, S.H. et al. Interocular difference associated with myopic progression following unilateral lateral rectus recession in early school-aged children. Jpn J Ophthalmol 63, 474–482 (2019). https://doi.org/10.1007/s10384-019-00689-0

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  • DOI: https://doi.org/10.1007/s10384-019-00689-0

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