000			02915cam a2200349 a 4500
003			EG-GiCUC
005			20250223032746.0
008			210606s2021 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aPh.D
099			_aCai01.11.24.Ph.D.2021.Jy.R
100	0		_aJylan Ahmed Mohamed Gouda
245	1	0	_aRelationship between the age at surgery and surgical outcome in intermittent exotropia / _cJylan Ahmed Mohamed Gouda ; Supervised Hala Mostafa Elhilali , Ahmed Reda Awadein , Heba Mohamed Fouad
246	1	5	_aالعلاقة مابين عمر المريض عند الجراحة ونتائج الجراحة فى مرضى الحول الوحشى المتقطع
260			_aCairo : _bJylan Ahmed Mohamed Gouda , _c2021
300			_a118 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Ophthalmology
520			_aPurpose: to compare the motor and sensory outcomes of early surgery ({u2264}5 years of age) versus late surgery ({u2265} 7 years of age) for intermittent exotropia. Design: a prospective observational study Methods: a total of 136 patients with intermittent exotropia was divided into two groups according to the age at surgery. In the late surgery group, bilateral lateral rectus recession was performed according to standard tables. In the earlier surgery group, the amount of lateral rectus recession was reduced by 0.5 mm. Motor alignment and sensory functions were followed up for six months.Complete success was defined as esophoria or intermittent esotropia < 5 PD to exophoria/tropia <8 PD for both distance and near with spectacles at 6 months. The study was registered in Clinical trial.gov (NCT04307160). Results: The mean age at surgery was 3.45 ± 1.00 years and 11.46 ± 5.29 years in the early and late surgery groups respectively. Success rate was 84% in the early surgery group and 68% in the late surgery group. The higher success rate in the early group was statistically significant (P =0.033). Overcorrection occurred in 2 patients in the early group (3%) and 5 patients (8%) in the late group. There was no statistically significant change in the postoperative stereo-acuity after surgery. Conclusion: Surgery at younger age was associated with a higher success rate at 6 months. The risk of overcorrection can be minimized with a reduced surgical dose. Longer follow up is needed to test the stability of the results
530			_aIssued also as CD
653		4	_aAge
653		4	_aIntermittent exotropia
653		4	_aPattern early
700	0		_aAhmed Reda Awadein , _eSupervisor
700	0		_aHala Mostafa Elhilali , _eSupervisor
700	0		_aHeba Mohamed Fouad , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c81202 _d81202