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Improved control of intermittent exotropia with part-time patching.
- Source :
-
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus [J AAPOS] 2023 Jun; Vol. 27 (3), pp. 160-163. Date of Electronic Publication: 2023 May 13. - Publication Year :
- 2023
-
Abstract
- We evaluated the effect of part-time patching versus observation on distance exodeviation control in post hoc analyses of 3- to <11-year-olds with intermittent exotropia who were assigned to either patching 3 hours/day or observation in a previously reported randomized clinical trial. The present analysis was limited to a subgroup of 306 participants who at distance fixation spontaneously manifested either a constant or intermittent exotropia or had prolonged recovery after monocular occlusion (a distance control score of 2 or worse using the 0-5 Office Control Score scale) at baseline. We assessed change in control at distance and near fixation, from baseline to 3 months and baseline to 6 months (1 month after discontinuing patching). We found greater improvement in the distance control score with patching than with observation at 3 months (mean difference, 0.4 points; 95% CI, 0.1-0.7) and 6 months (mean difference, 0.3 points; 95% CI, 0.02-0.6). These analyses suggest that part-time patching may improve distance control in children with intermittent exotropia and a control score ≥ 2; however, because this conclusion is based on post hoc subgroup analyses, further studies are needed.<br /> (Copyright © 2023 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Child
Humans
Chronic Disease
Exotropia therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1528-3933
- Volume :
- 27
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
- Publication Type :
- Report
- Accession number :
- 37187406
- Full Text :
- https://doi.org/10.1016/j.jaapos.2023.02.011