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- W2911492710 abstract "Introduction: Patients with exodeviation generally progress through clinical stages of exophoria, intermittent exotropia and ultimately constant exotropia. In intermittent exotropia, deviation is manifested intermittently specially during the period of fatigue, illness or visual inattention. This study was conducted tofind out the outcome of various modalities of management of intermittent exotropia.Method: It was a prospective study conducted in Department of Paediatric Ophthalmology and Strabismus in Nepal Eye Hospital, Kathmandu. Fifty patients were enrolled in this study, who underwent relevant history taking, ocular examination including visual acuity, cyclorefraction, anterior and posterior segment examination, fixation pattern, orthoptic evaluation including cover uncover test, extraocular muscle movements, amountof deviation for both near and far by prism cover test, stereopsis and binocular single vision. Patients who met the criteria for surgery were managed surgically and the rest of the patients were managed by orthoptic measures and by prescription of glasses. None of the patients were managed with prisms and occlusiontherapy. Patients were followed up at 1 and 6 months duration.Result: There was a mean change of 17.02 prism diopter (PD) on presentation versus 12.95 PD on near deviation and from 16.45PD on presentation versus 13.85 PD on distant deviation after six months of conservative management. The mean change was from 38.12 PD on presentation versus 9.12 PD in near deviation and from 35.62 PD versus 9.65 PD in distant deviation after 6 months of surgical management. Binocular single vision improved to 73.8% from 50% after six month of conservative management while it improved from 0% to 100% after six month of surgical treatment.Conclusion: There was significant improvement in patients who underwent surgical therapy in terms of ultimate achievement of binocular single vision and ocular alignment for near and distance as compared to patients who underwent conservative management." @default.
- W2911492710 created "2019-02-21" @default.
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- W2911492710 date "2017-07-08" @default.
- W2911492710 modified "2023-09-23" @default.
- W2911492710 title "Management Outcome of Intermittent Exotropia" @default.
- W2911492710 hasPublicationYear "2017" @default.
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