Treating childhood intermittent distance exotropia: a qualitative study of decision making

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Treating childhood intermittent distance exotropia: a qualitative study of decision making

BACKGROUND Engaging patients (parents/families) in treatment decisions is increasingly recognised as important and beneficial. Yet where the evidence base for treatment options is limited, as with intermittent distance exotropia (X(T)), this presents a challenge for families and clinicians. The purpose of this study was to explore how decisions are made in the management and treatment of X(T) a...

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Improvement in distance stereoacuity following surgery for intermittent exotropia.

PURPOSE To evaluate whether distance stereoacuity improves following surgery for intermittent exotropia using the Frisby Davis Distance (FD2) and Distance Randot stereotests. METHODS Eighteen patients (median age, 24 years; range, 5 to 68 years) with intermittent exotropia were prospectively enrolled. Stereoacuity was measured pre- and 6 weeks postoperatively using the FD2 and Frisby near tes...

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Distance stereotesting using vision test charts for intermittent exotropia

PURPOSE To assess the role of distance stereoacuity using the System Chart SC-1600 Pola (SC) to evaluate intermittent exotropia (IXT). METHODS Stereoacuity testing was performed in 28 children with IXT and 25 age-matched control subjects using the SC test, the distance Randot stereotest for distance, and the Titmus stereotest for near stereoacuity. Ocular alignment control was defined using t...

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The distance angle to target in surgery for intermittent exotropia.

BACKGROUND Patients with intermittent exotropia may have an increase in their angle of strabismus in the distance when the angle is measured either after 1 hour of monocular occlusion or while the patients fixate on a distant target outdoors. The hypothesis that surgery should be performed for this larger deviation has been suggested but not tested. OBJECTIVES To test the hypothesis that surg...

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Selective surgery for intermittent exotropia based on distance/near differences.

BACKGROUND Classic teaching suggests that surgery for intermittent exotropia should be based on distance/near differences. Divergence excess, according to tradition, should be treated with symmetric lateral rectus recessions; simulated divergence excess and basic deviations should be treated with a recess/resect procedure. This teaching, to our knowledge, has not been systematically tested. O...

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ژورنال

عنوان ژورنال: BMC Ophthalmology

سال: 2015

ISSN: 1471-2415

DOI: 10.1186/s12886-015-0087-y