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Factors associated with the effectiveness of part-time patching for intermittent exotropia in children.
- Source :
-
European journal of ophthalmology [Eur J Ophthalmol] 2022 Jul; Vol. 32 (4), pp. 2026-2033. Date of Electronic Publication: 2021 Aug 10. - Publication Year :
- 2022
-
Abstract
- Purpose: To evaluate the factors associated with the efficacy of low-dose part-time patching in children with intermittent exotropia (IXT).<br />Methods: In this prospective observational study, we enrolled 186 patients diagnosed with IXT. Outcome measures included office based control scales, magnitude of exo-deviation, and stereoacuity at near and distance after daily patching for 2 h. We analyzed the clinical data and demographic factors association with improvement of IXT.<br />Results: The study was completed by 152 subjects of total enrolled patients on a consecutive basis followed up for 1 year. Decrease in the magnitude of exo-deviation, improvement of control, and or gain of stereoacuity were observed in 31.6% patients of the recruited subjects after part-time patching. Multivariate analyses showed that prognostic factors determining improvement to part-time patching included convergence insufficiency (CI) type IXT ( p = 0.016), poor distance stereopsis ( p = 0.044), and large exotropic deviation at distance ( p = 0.025).<br />Conclusions: CI-type exotropia, large distance magnitude of exo-deviation, or poor distance stereopsis appear to be associated with a better response to part-time patching. Therefore low dose part-time patching may be a useful non-surgical treatment alternative to delay surgery in these cases.
Details
- Language :
- English
- ISSN :
- 1724-6016
- Volume :
- 32
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- European journal of ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 34374312
- Full Text :
- https://doi.org/10.1177/11206721211037826