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Role of orthoptic treatment in the management of intermittent exotropia.

Abstract
30 patients of intermittent ACDS were studied prospectively for a period of 8 weeks to 1 year to evaluate the role of orthoptics in the management of these cases. In patients with convergence insufficiency and a maximum deviation of 25 PD or less the orthoptic treatment was found to be effective in offering symptomatic relief and improving binocular functional status. A reduction in the maximum angle of deviation by 4 PD to 8 PD was observed in 4 patients. Even though the basic angle of deviation remained unchanged in most of the patients, significant functional and symptomatic improvement was obtained in 64% to 85.7% of these cases. The long term stability of these results remains to be studied. In patients with a deviation of more than 25 PD there was no significant improvement in symptoms or reduction in maximum angle of deviation. In 6(37.5%) of these patients some improvement in the fusional range could be demonstrated on the synoptophore without any symptomatic relief.
AuthorsV Singh, S Roy, S Sinha
JournalIndian journal of ophthalmology (Indian J Ophthalmol) 1992 Jul-Sep Vol. 40 Issue 3 Pg. 83-5 ISSN: 0301-4738 [Print] India
PMID1302231 (Publication Type: Journal Article)
Topics
  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Exotropia (therapy)
  • Female
  • Humans
  • Male
  • Middle Aged
  • Orthoptics
  • Prospective Studies
  • Vision, Binocular

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