BOTOX INJECTION VERSUS LATERAL RECTUS MUSCLE SURGERY FOR TREATMENT OF BASIC EXOTROPIA

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Authors

Ophthalmology dept., Faculty of Medicine, Menoufia Univ., Egypt

Abstract

Purpose: to evaluate Botox injection versus bilateral rectus muscle recession for treatment of
basic exotropia. Methods: Of the 60 patients with basic exotropia included in a prospective
com-parative clinical study which conducted at outpatient’s clinic of ophthalmology, Menoufia
University Hospital during March 2021 till June 2022 were eligible for inclusion. A detailed
history of strabismus, complete ophthalmologic and orthoptic assessment were done. Results:
there were no significant differences between the studied groups regarding angle of squint pre
and post-operative (P=0.563, 0.145 respectively). Also, angle of squint was significantly
improved after operation than preoperative among Botox injection group (3.72±1.96 vs
31.67±6.64, P<0.001), and patients with bilateral rectus muscle recession (2.89±1.32 vs
32.56±9.46, P<0.001). Conclusions: In the treatment of basic exotropia, Botox injection is as
effective as bilateral lateral recession.

Keywords

Egyptian Journal of Clinical Ophthalmology
Volume 5, Issue 2
December 2022
Pages 97-103

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