Relationship Between the Clinical Factors and Deviation Control in Intermittent Exotropia.

Published on Sep 1, 2021in Journal of Pediatric Ophthalmology & Strabismus1.402
路 DOI :10.3928/01913913-20210723-01
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Abstract
PURPOSE To establish whether clinical factors were correlated with deviation control in intermittent exotropia. METHODS This retrospective study included 54 patients with intermittent exotropia. The patient's sex, family history, age at first admission, best corrected visual acuity, refractive errors after cycloplegia, angles of ocular deviation at near and distance, and near, distance, and total deviation control were evaluated. Ocular deviation controls were determined according to the Mayo Clinic's office-based scale. Correlation analysis was performed between the deviation control and the determined clinical factors. RESULTS Spearman correlation analyses revealed a mild correlation between age with total exotropia control score and age with the control of near exotropia control score (r = 0.320, P = .018 and r = 0.339, P = .012, respectively). The angle of deviation at near showed a significant moderate correlation between total exotropia control score and near exotropia control score (r = 0.523, P < .001 and r = 0.780, P < .001, respectively). The deviation angle at distance showed a mild correlation with distance exotropia control score and total exotropia control score (r = 0.423, P = .001 and r = 0.288, P = .034, respectively). The angle of deviation at distance showed a mild correlation with the angle of deviation at near (r = 0.359, P = .008). The deviation angle at distance was established as an independent factor for predicting total exotropia score (P = .037, P = .015, respectively). CONCLUSIONS The high deviation angle correlates positively with poor deviation control. The distance deviation angle is an independent predictor of total deviation control for the first time in the literature. [J Pediatr Ophthalmol Strabismus. 20XX;XX(X):XX-XX.].
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#3Brian G. Mohney (Mayo Clinic)H-Index: 32
#4Susan A. Cotter (Marshall B. Ketchum University)H-Index: 48
Last. Rui WuH-Index: 1
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Purpose To describe the course of intermittent exotropia (IXT) in children followed up without treatment for 3 years. Design Observation arm from randomized trial of short-term occlusion versus observation. Participants One hundred eighty-three children 3 to 10 years of age with previously untreated IXT and 400 seconds of arc (arcsec) or better near stereoacuity. Methods Participants were to receive no treatment unless deterioration criteria were met at a follow-up visit occurring at 3 months, 6...
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#1Yeji Moon (UOU: University of Ulsan)H-Index: 2
#2Hyuna Kim (Gyeongsang National University)H-Index: 3
Last. Hyun Taek Lim (UOU: University of Ulsan)H-Index: 8
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Abstract Objective To determine whether preoperative Look And Cover, then Ten seconds of Observation Scale for Exotropia (LACTOSE) control scores can predict surgical outcomes in children with intermittent exotropia. Design Retrospective interventional case series from a university-based tertiary eye care centre. Participants A total of 350 patients with basic-type intermittent exotropia who underwent bilateral lateral rectus recession between 3 and 10years of age from January 2014 to December 2...
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#1Rosanne Superstein (UdeM: Universit茅 de Montr茅al)H-Index: 9
#2Trevano W. DeanH-Index: 7
Last. Eileen E. BirchH-Index: 84
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Purpose To determine the relationships between stereoacuity, control of exotropia, and angle of deviation in children with intermittent exotropia (IXT). Methods Data collected for 652 participants 3 to Results Any level of stereoacuity and angle of deviation could be accompanied by any level of control. Worse distance exotropia control was weakly associated with poorer distance stereoacuity ( R =聽0.26; 99% CI, 0.17-0.36) and larger angles of deviation at distance ( R =聽0.27; 99% CI, 0.17-0.36). ...
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#1Hyuna Kim (UOU: University of Ulsan)H-Index: 7
#2Dae Hee KimH-Index: 5
Last. Hyun Taek Lim (UOU: University of Ulsan)H-Index: 8
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Abstract Objective There is a clinical need for a valid and reliable assessment system to quantify the severity and measure the progression of intermittent exotropia. We have developed a new scoring system (Look And Cover, then Ten seconds of Observation Scale for Exotropia [LACTOSE]) based on the examinee's potential to regain the phoria for both distance and near fixation. The test takes only 1 minute to complete. The aim of this study was to evaluate the reliability and validity of LACTOSE. M...
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#1Sarah R. Hatt (Mayo Clinic)H-Index: 27
#2Laura Liebermann (Mayo Clinic)H-Index: 14
Last. Jonathan M. Holmes (Mayo Clinic)H-Index: 68
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Purpose To develop and validate an improved measure of control in intermittent exotropia (XT). Design Prospective, noninterventional case series. Methods Twelve children with intermittent XT were evaluated during 4 sessions (2 hours apart) over a day, on 2 separate days (8 sessions per child). Control was standardized using a scoring system and quantified 3 times during each examination. Overall control for a day was calculated as the mean of all 12 measures. Single measures of control and the m...
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#1Sarah R. Hatt (Mayo Clinic)H-Index: 27
#2Brian G. Mohney (Mayo Clinic)H-Index: 32
Last. Jonathan M. Holmes (Mayo Clinic)H-Index: 68
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Purpose Assessing control is thought to be important in the management of intermittent exotropia, including the decision to perform surgery. The purpose of this study was to assess the presence and degree of any change in control occurring over the course of 1 day using a previously described 6-point clinic control scale and to evaluate interobserver and minute-to-minute variability. Design Prospective case series. Participants Twenty-five patients with intermittent exotropia. Methods Interobser...
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#1Jonathan M. Holmes (Mayo Clinic)H-Index: 68
#2Eileen E. Birch (UTSW: University of Texas Southwestern Medical Center)H-Index: 84
Last. Brian G. Mohney (Mayo Clinic)H-Index: 32
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Purpose Poor control of intermittent exotropia has been considered an indication for surgical intervention, and poor distance stereoacuity may be an indicator of poor control. Two new measures of distance stereoacuity, the Frisby鈥揇avis Distance test (FD2) and Distance Randot test (DR), both of which have been validated in normal and strabismic subjects, were evaluated, and we compared stereoacuity with scores on a recently described control scale. Design Prospective case series. Participants Twe...
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Aim: To evaluate the use of the Newcastle Control Score (NCS) in the management of intermittent exotropia (X(T)). Participants and methods: Children aged Results: Baseline data were obtained on 272 children and follow-up data on 157. Mean (SD) age was 4 (1.9) years. Complete NCSs were obtained for all except one child at baseline, and all children at follow-up. At baseline, total NCS and the home control component were correlated with near stereo (r鈥=鈥娾0.22, p Conclusion: The NCS is a useful mea...
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#1Brian G. Mohney (Mayo Clinic)H-Index: 32
#2Jonathan M. Holmes (Mayo Clinic)H-Index: 68
Introduction. Although intermittent exotropia may deteriorate with time, there are no widely accepted criteria for measuring progression in this disorder. The purpose of this study was to prospectively evaluate a new scale for assessing the level of control in children with intermittent exotropia. Methods. Thirty consecutive pediatric patients (< 14 years) with intermittent exotropia were prospectively evaluated from July 1, 2004 through June 30, 2005 using a new scale to assess the level of con...
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#1Kenneth Romanchuk (U of C: University of Calgary)H-Index: 10
#2Stephanie A. Dotchin (Dal: Dalhousie University)H-Index: 2
Last. Jocelyn Zurevinsky (Saskatoon City Hospital)H-Index: 2
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Purpose: We studied patients with distance intermittent exotropia with at least 5 years follow-up before any surgical therapy, to determine how often amblyopia developed, whether there was progressive worsening in the angle or control of the exodeviation, whether there was deterioration in binocular vision, and other parameters. Methods: Retrospective review of charts of patients with exodeviations examined consecutively over 17 years. Results: There were 109 patients followed for a mean of 9 ye...
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