Management of Intermittent Exotropia in Children | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 19, Volume 76, Issue 1, July 2019, Page 3282-3290 PDF (709.52 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2019.36891 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ahmed Salah Abdel-Rehim1; Abdul-Mongy Elsayed Ali1; Alaa Abdul-Mongy Abdul-Fattah Sadaka2; Dina Hamdy Mohamed Mohamed* 3 | ||||
| 1Departments of Ophthalmology, Faculty of Medicine, Al-Azhar University | ||||
| 2Departments of Ophthalmology, Faculty of Medicine, Aswan University, Egypt | ||||
| 3Departments of Ophthalmology, Faculty of Medicine, Al-Azhar University, | ||||
| Abstract | ||||
| Background: Intermittent exotropia (IXT) is a common form of childhood exotropia, accounting for about 50–90% of all the exotropia and affecting about 1% of the general population. Objective: The purpose of this study was to evaluate difference modalities for treatment of intermittent exotropia either by non-surgical and surgical methods. Patients and Methods: this study included 40 patients of both sexes with exodeviation divided into 2 groups; Group (A): 20 patients subjected to non-surgical treatment and Group (B): 20 patients underwent surgical treatment; bilateral lateral rectus recession (BLR). Results: In non-surgical group the success rate was 55% after 12 months of treatment. Overminus glasses are more effective in control of IXT than part-time occlusion (PTO) and convergence exercise. The success rate was 86%. While the success rate in PTO was 43% and the success rate of convergence exercise was 33%. Poor compliance in PTO and convergence exercise therapy affect the treatment effectiveness. In surgical group (BLR) the success rate was 75%. Under-correction was 20% and the overcorrection was 5%. No complications were found. No lateral incomitance was observed. Conclusion: Surgical method is more effective in treatment of IXT than non-surgical methods, but the non-surgical method is more important in younger children. The over-minus glasses is more effective in treatment of IXT than the other non-surgical method due to poor compliance among children in PTO and Convergence exercise therapy. A larger trial for a longer duration is warranted to assess the effectiveness of different modalities of treatment of IXT | ||||
| Keywords | ||||
| Intermittent exotropia; children; IXT | ||||
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