Conservative management of intermittent distance exotropia: A Review

American Orthoptic Journal

Volumn 61, Issue 1, 2011, Pages 103-116

  Piano, Marianne ^a   O'Connor, Anna R ^a  

^a UNIVERSITY OF LIVERPOOL   (United Kingdom)

Author keywords

Antisuppression; Conservative management; Control score; Intermittent distance exotropia; Minus lens therapy; Orthoptic exercises; Prisms

Indexed keywords

ARTICLE; DIVERGENT STRABISMUS; EXTRAOCULAR MUSCLE; EYE SURGERY; HUMAN; METHODOLOGY; ORTHOPTICS; PATHOPHYSIOLOGY; SPECTACLES;

EXOTROPIA; EYEGLASSES; HUMANS; OCULOMOTOR MUSCLES; OPHTHALMOLOGIC SURGICAL PROCEDURES; ORTHOPTICS;

EID: 80052662219     PISSN: 0065955X     EISSN: 15534448     Source Type: Journal    
DOI: 10.3368/aoj.61.1.103     Document Type: Article

References (68)

1. British Orthoptic Society. Dictionary of Common Terms in Orthoptic Practice, 1st ed. London: British Orthoptic Society; 2001.
2. Clarke MP: Intermittent exotropia. J Pediatr Ophthalmol Strabismus 2007; 44:153-157.
3. Govindan M, Mohney BG, Diehl NN, Burke JP: Incidence and types of childhood exotropia: A population- based study. Ophthalmology 2005; 112:104-108.
4. Mohney BG: Common forms of childhood strabismus in an incidence cohort. Am J Ophthalmol 2007; 144:465-467.
5. Chia A, Seenyen L, Boon Long Q: A retrospective review of 287 consecutive children in Singapore presenting with intermittent exotropia. J AAPOS 2005; 9:257-263.
6. Hatt SR, Mohney BG, Leske DA, Holmes JM: Variability of control in intermittent exotropia. Ophthalmology 2008; 115:371-376.
7. Clarke MP: Outcomes of surgery in the Improving Outcomes in Intermittent Exotropia Study. Paper delivered at the British Isles Paediatric Ophthalmology and Strabismus Association, 2010.
8. Rowe FJ: Orthoptics journal / conference transactions search facility, University of Liverpool, 2010. http://www.liv.ac.uk/orthoptics/research/search.htm. Accessed March 1, 2011.
9. Hatt SR, Mohney BG, Leske DA, Holmes JM: Variability of stereoacuity in intermittent exotropia. Am J Ophthalmol 2008; 145:556-561.
10. Buck D, Powell C, Cumberland P, et al.: Presenting features and early management of childhood intermittent exotropia in the U.K.: Inception cohort study. Br J Ophthalmol 2009; 93:1620- 1624.
11. Holmes JM: Assessment of control in intermittent exotropia. Am Orthopt J 2009; 59:5-9.
12. Rowe FJ, Noonan CP, Freeman G, DeBell J: Intervention for intermittent distance exotropia with overcorrecting minus lenses. Eye 2009; 23:320-325.
13. Watts P, Tippings E, Al-Madfai H: Intermittent exotropia, overcorrecting minus lenses, and the Newcastle scoring system. J AAPOS 2005; 9:460-464.
14. Petrunak JL, Rao R: The evaluation of office control in intermittent exotropia: A systematic approach. Am Orthopt J 2003; 53:98-104.
15. Mohney BG, Holmes JM: An office- based scale for assessing control in intermittent exotropia. Strabismus 2006; 14:147-150.
16. Buck D, Clarke MP, Haggerty H, et al.: Grading the severity of intermittent distance exotropia:The revised Newcastle Control Score. Br J Ophthalmol 2008; 92:577.
17. Haggerty H, Richardson SR, Hrisos S, Strong NP, Clarke MP: The Newcastle Control Score: A new method of grading the severity of intermittent distance exotropia. Br J Ophthalmol 2004; 88:233-235.
18. Nusz KJ, Mohney BG, Diehl NN: The course of intermittent exotropia in a population- based cohort. Ophthalmology 2006; 113:1154-1158.
19. Buck D, Hatt SR, Haggerty H, et al.: The use of the Newcastle Control Score in the management of intermittent exotropia. Br J Ophthalmol 2007; 91:215-218.
20. Weakley DR: Surgical management of childhood intermittent exotropia. Am Orthopt J 2009; 59:31-34.
21. Hiles DA, Davies GT, Costenbader FD: Longterm observations on unoperated intermittent exotropia. Arch Ophthalmol 1968; 80:436-442.
22. Romanchuk KG, Dotchin SA, Zurevinsky J: The natural history of surgically untreated intermittent exotropia: Looking into the distant future. J AAPOS 2006; 10:225-231.
23. Richardson SR: When is surgery indicated for distance exotropia? Br Orthopt J 2001; 58:24-29
24. von Noorden GK: Some aspects of exotropia. Presented at Wilmer Residents' Association, Johns Hopkins Hospital, 1966 (see note 29).
25. Brooks SE, Johnson D, Fischer N: Anisometropia and binocularity. Ophthalmology 1996; 103:1139-1143.
26. Tomac S, Birdal E: Effects of anisometropia on binocularity. J Pediatr Ophthalmol Strabismus 2001; 38:27-33.
27. Ansons AM, Davis H. Diagnosis and Management of Ocular Motility Disorders, 2nd ed. Oxford: Blackwell Publishing; 2005.
28. Rowe FJ. Clinical Orthoptics, 2nd ed. Oxford: Blackwell Publishing; 2004.
29. von Noorden GK, Campos EC. Binocular Vision and Ocular Motility: Theory and Management of Strabismus, 6th ed. St. Louis: Mosby; 2002, pp. 365-367.
30. Iacobucci IL, Archer SM, Giles CL: Children with exotropia responsive to spectacle correction of hyperopia. Am J Ophthalmol 1993; 116:79-83.
31. Ah Chung S, Sik Kim I, Kyum Kim W, Bok Lee J: Changes in exodeviation following hyperopic correction in patients with intermittent exotropia. J Pediatr Ophthalmol Strabismus 2010 (e- pub ahead of print).
32. Caltrider N, Jampolsky A: Overcorrecting minus lens therapy for treatment of intermittent exotropia. Ophthalmology 1983; 90:1160-1165.
33. Donaldson PJ, Kemp EG: An initial study of thetreatment of intermittent exotropia by minus overcorrection. Br Orthopt J 1991; 48:41-43.
34. Reynolds JD, Wackerhagen M, Olitsky SE: Overminus lens therapy for intermittent exotropia. Am Orthopt J 1994; 44:86-91.
35. Figueira EC, Hing S: Intermittent exotropia: Comparison of treatments. Clin Experiment Ophthalmol 2006; 34:245-251.
36. Gezer A, Sezen F, Nasri N, Gozum N: Factors influencing the outcome of strabismus surgery in patients with exotropia. J AAPOS 2004; 8: 56-60.
37. Iacobucci IL, Martonyi EJ, Giles CL: Results of overminus lens therapy on postoperative exodeviations. J Pediatr Ophthalmol Strabismus 1986; 23:287-291.
38. Pritchard C, Ellis GS: Management of intermittent exotropia: For nonsurgical therapy. Am Orthopt J 1998; 48:21-24.
39. de Paula JS, Ibrahim FM, Martins MC, Bicas HEA, Cruz AAV: Refractive error changes in children with intermittent exotropia under overminus lens therapy. Arquivos Brasileiros de Oftalmologia 2009; 72:751-754.
40. Kushner BJ: Does overcorrecting minus lens therapy for intermittent exotropia cause myopia? Arch Ophthalmol 1999; 117:638-642
41. Rutstein RP, Marsh- Tootle W: Changes in refractive error for exotropes treated with overminus lenses. Optom Vis Sci 1989; 66:487-491.
42. Ekdawi NS, Nusz KJ, Diehl NN, Mohney BG: The development of myopia among children with intermittent exotropia. Am J Ophthalmol 2010; 149:503-507.
43. Jung J, Lee S: A comparison of the clinical characteristics of intermittent exotropia in children and adults. Korean J Ophthalmol 2010; 24: 96-100.
44. Berg PH, Lozano MJ, Isenberg SJ: Long- term results of part- time occlusion for intermittent exotropia. Am Orthopt J 1998; 48:85-89.
45. Flynn JT, McKenney S, Rosenhouse M: Management of intermittent exotropia. In: Moore S, Mein J, Stockbridge L, eds. Orthoptics: Past, Present and Future. Transactions of the Third International Orthoptic Congress, July 1-3, 1975. Miami: Symposia Specialists; 1976, pp. 551-557.
46. Spoor DK, Hiles DA: Occlusion therapy for exodeviations occurring in infants and young children. Ophthalmology 1979; 86:2152-2157.
47. Powell C, Buck D, Cumberland P, et al.: Outcomes of nonsurgical treatment of intermittent exotropia. In: Rydberg A, Stephenson G, van Lammeren M, eds. Reflections on the Diversity of Current Orthoptics: Transactions of the XIth International Orthoptic Congress, May 28-31,2008. Leuven, Belgium: IOA Congress Office; 2008, pp. 104-107.
48. Velez G: Results in intermittent exotropia. In: Moore S, Mein J, Stockbridge L, eds. Orthoptics: Past, Present and Future (see note 45), pp. 559- 562.
49. Coffey B, Wick B, Cotter S, Scharre J, Horner D: Treatment options in intermittent exotropia: A critical appraisal. Optom Vis Sci 1992; 69: 386-404.
50. Vishnoi SK, Singh V, Mehra MK: Role of occlusion in treatment of intermittent exotropia. Indian J Ophthalmol 1987; 35:207-210.
51. Singh V, Roy S, Sinha S: Role of orthoptic treatment in the management of intermittent exotropia. Indian J Ophthalmol 1992; 40:83-85.
52. PEDIG: A randomized clinical trial of observation versus occlusion therapy for intermittent exotropia. National Library of Medicine: National Institutes for Health. http://clinicaltrials.gov. Last updated December 2009. Accessed March 2010.
53. Daum KM: Divergence excess: Characteristics and results of treatment with orthoptics. Ophthal Physiol Opt 1984; 4:15-24.
54. Goldrich SG: Optometric therapy of divergence excess strabismus. Ophthal Physiol Opt 1980; 57:7-14.
55. Knapp P: Intermittent exotropia: Evaluation and therapy. Am Orthopt J 1953; 3:27-33.
56. Hodgetts DJ: Undercorrected and recurrent exotropia. Am Orthopt J 2003; 53:39-44.
57. Kushner BJ: Diagnosis and treatment of exotropia with a high accommodation convergence- accommodation ratio. Arch Ophthalmol 1999; 117:221-224.
58. Khawam E, Zein W, Haddad W, Haddad C, Allam S: Intermittent exotropia with high AC / A ratio: Is it a bane to surgical cure? Some facts and fictions of the two clinical tests: Occlusion of one eye and the use of +3.00 spherical lenses. Binocul Vis Strabismus Q. 2003; 18:209-216.
59. Pejic Z, Wong W, Husain R, Ling Y, Farzavandi S: Fusion exercises for treatment of intermittent exotropia and phoria. Am Orthopt J 2006; 56:138-146.
60. Jackson JH, Arnoldi KA: The gradient AC / A ratio: What's really normal? Am Orthopt J 2004; 54:125-132
61. Hatt SR, Leske DA, Holmes JM: Awareness of deviation in children with intermittent exotropia. Strabismus 2009; 17:101-106.
62. Veronneau- Troutman S, Shippman S, Clahane AC: Prisms as an orthoptic tool in the management of primary exotropia. In: Moore S, Mein J, Stockbridge L, eds. Orthoptics: Past, Present and Future, pp. 195-201.
63. Hardesty HH, Boynton JR, Keenan JP. Treatment of intermittent exotropia. Arch Ophthalmol 1978; 96:268-274.
64. Dadeya S, Kamlesh MS, Naniwal S: Usefulness of the preoperative prism adaptation test in patients with intermittent exotropia. J Pediatr Ophthalmol Strabismus 2003; 40:85-89.
65. Hardesty HH: Treatment of under and overcorrected intermittent exotropia with prism glasses. Am Orthopt J 1969; 19:110-119.
66. Pratt- Johnson JA, Tilson G: Prismotherapy in intermittent exotropia: A preliminary report. Canadian J Ophthalmol 1979; 14:243-245.
67. Sub Choi K, Ah Chung S, Sung Lee K, Bok Lee J: The prismatic effect on stereoacuity in intermittent exotropia. Yonsei Med J 2010; 51:117-120.
68. Cotton SH, Griffiths HJ. A comparison of the effect of 3M Fresnel prisms and Trusetal prism foils on visual function. Br Irish Orthopt J 2010; 7:45-48.