Published online Aug 12, 2014. doi: 10.5318/wjo.v4.i3.71
Revised: June 24, 2014
Accepted: July 17, 2014
Published online: August 12, 2014
Processing time: 144 Days and 9.8 Hours
Intermittent exotropia with convergence insufficiency is defined as a greater exodeviation measured at near than at distance of at least 10 prism diopters and it is harmful to binocular vision at earlier time. This paper mainly introduces three operation patterns including lateral rectus recession(s) with or without a slanting procedure, unilateral lateral rectus recession with medial rectus resection, and medial rectus resection(s) with or without a slanting procedure.
Core tip: Although numerous operation patterns have been developed for intermittent exotropia with convergence insufficiency, there is not a standard protocol. This paper mainly summarizes three operation patterns including lateral rectus recession(s) with or without a slanting procedure, unilateral lateral rectus recession with medial rectus resection and medial rectus resection(s) with or without a slanting procedure. Merits and demerits of different surgery procedures and the deficiencies of different studies are also elucidated in this paper.