orthoptic treatment in the management of intermittent exotropia

نویسندگان

رضا اسدی

reza asadi خلیل قاسمی فلاورجانی

khalil ghasemi-falavarjani نادیا صدیقی

nadia sadighi

چکیده

purpose : to evaluate the role of orthoptic treatments in the management of intermittent exotropia methods : in a retrospective study, clinical records of patients diagnosed with intermittent exotropia were reviewed. patients with basic, convergence insufficiency (ci) and divergence excess (de) types of intermittent exotropia who underwent orthoptic treatments were enrolled. office treatments included prism exercises and pencil push-ups, and home exercises included pencil push-ups, 3d tests and dominant eye occlusion. clinical evaluation of symptoms, binocular orthoptic status and maximum angle of deviation was done before treatment and at 8 weeks after the beginning of the treatment and at the time of last examination. results : seventy four patients with a mean age of 18.4±12.2 years and mean follow-up of 13.5±10.1 weeks were included in the study. forty three (58.1%) patients had a basic type of exodeviation, 22 (29.7%) had a ci type of exodeviation and 9 (12%) had a de type of exodeviation. the treatment was successful in 88.3% of patients in basic type, all patients in ci type and 88.8% in de group. success rate was not significantly different between the three groups (p=0.25). strabismus surgery was performed in one patient in basic type and one in de group due to the lack of improvement. conclusion : orthoptic treatment seems to be effective in reducing symptoms and improving signs of intermittent exotropia.   iranian journal of ophthalmology 200921(1):35-40 © 2009 by the iranian society of ophthalmology

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Role of orthoptic treatment in the management of intermittent exotropia.

30 patients of intermittent ACDS were studied prospectively for a period of 8 weeks to 1 year to evaluate the role of orthoptics in the management of these cases. In patients with convergence insufficiency and a maximum deviation of 25 PD or less the orthoptic treatment was found to be effective in offering symptomatic relief and improving binocular functional status. A reduction in the maximum...

متن کامل

Orthoptic Treatment in the Management of Intermittent Exotropia

© 2009 by the Iranian Society of Ophthalmology Published by Otagh-e-Chap Inc. 35 Purpose: To evaluate the role of orthoptic treatments in the management of intermittent exotropia Methods: In a retrospective study, clinical records of patients diagnosed with intermittent exotropia were reviewed. Patients with basic, convergence insufficiency (CI) and divergence excess (DE) types of intermittent ...

متن کامل

Intermittent Exotropia: Management Options and Surgical Outcomes

Background: This paper reflects an effort to recreate a modern analysis of a 1985 study on surgical outcomes of intermittent exotropia. Post-surgical results are reported as functional, motor, cosmetic, and unsuccessful. Modern optometric approaches to management of intermittent exotropia are also discussed. Methods: A literature review of 17 acceptable papers (dating from 1990-2011) on the out...

متن کامل

Variability of stereoacuity in intermittent exotropia.

PURPOSE Distance stereoacuity is used to monitor deterioration of intermittent exotropia (IXT), but variability of stereoacuity has not been studied rigorously. The purpose of this study was to assess the variability of stereoacuity over one day in children with IXT. DESIGN Prospective cohort study. METHODS Twelve children with IXT were recruited. Stereoacuity was assessed using the Frisby ...

متن کامل

Incomitance and Eye Dominance in Intermittent Exotropia

Purpose To determine if the deviation angle changes in subjects with intermittent exotropia as they alternate fixation between the right and left eye in primary gaze. Methods In this prospective observational cohort study, 37 subjects with intermittent exotropia were tested for evidence of incomitance. The position of each eye was recorded with a video tracker during fixation on a small centr...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
journal of current ophthalmology

جلد ۲۱، شماره ۱، صفحات ۳۵-۴۰

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023