Intermittent exotropia is an exodeviation intermittently controlled by fusional mechanisms Unlike a pure phoria, intermittent exotropia spontaneously breaks down into a manifest exotropia Prevalence Exodeviations are much more common in latent or intermittent form than are esodeviationsExotropia is a type of strabismus, which is a misalignment of the eyes Exotropia is a condition in which one or both eyes turn outward away from the nose In Exotropia the Eyes are deviated outwards It causes Double Vision and tiredness in the Eyes It is associated with Squint and Strabismus There are three types of Exotropia Congenital Strabismus It is present by birth It may be due to genetic disorders Intermittent Exotropia It may be seen in day dreaming
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Exotropia treatment exercises- Treatment Exophoria can be treated with eyeglasses or contact lenses, and you may find that your symptoms ease if you wear corrective lenses for myopia (nearsightedness) or hyperopia (farsightedness) Some cases may require treatment through special prisms built into eyeglass lenses Prisms can help to align the image seen by the eyes for moreAn exotropia is an outward eye turn that can have a large variety of presentations It can be intermittent, constant, unilateral, alternating and vary in magnitude An exotropia has a variety of causes, some of which can be life threatening If an eyeturn is suspected or there is a family history of an eyeturn a comprehensive eyeexamination
Hypertropia
In Intermittent Exotropia J Ophthalmol Sci ;2(2)14 Jornal o Ophthalmoloical Science Page 3 of 4 Discussion The management of intermittent exotropia is complex The severity and duration of fusion disruptive exo deviated state, usually influences the clinician regarding treatment decisions The natural history of intermittent exotropiaTreatment for Exotropia For people whose exotropia does not often occur, observation by an ophthalmologist might be the only treatment needed For people who have more frequent exotropia, the goals for treatment include realigning the eyes, helping both eyes work together properly, and treating double vision and/or amblyopia , or "lazy eyeDepends on severity treatment for alternating exotropia includes observation, patching, glasses, penalization with Atropine, exercises, and surgeryit all depends on how Read More 23k views Answered >2 years ago Thank
Purpose To identify the best treatment option for intermittent exotropia Methods A retrospective analysis of the progress of 150 treated intermittent exotropia patients was performed Treatment forms considered are (i) surgery combined with orthoptic/occlusion therapy;Importance This is the first largescale randomized clinical trial evaluating the effectiveness and safety of overminus spectacle therapy for treatment of intermittent exotropia (IXT) Objective To evaluate the effectiveness of overminus spectacles to improve distance IXT control Design, setting, and participants This randomized clinical trial conducted at 56 clinical sites between JanuaryTreatment of intermittent exotropia Treatment recommendations depends on the severity of the problem, on the signs and symptoms, and on the patient and family desires When the drifting eye movement is mild, observation may be all that is needed Sometimes, the condition will remain the same over a long period of time or may even get better
Intermittent exotropia is the most common type of strabismus It is defined as a nonconstant exodeviation that manifests predominantly at distance fixation and may progress over a variable period to near fixation This entity is also named distance exotropia, divergent squint, periodic exotropia, or exotropia of inattention Small exophorias are common in newborns and can be • To study the longrange results of surgically treated intermittent exotropia, 100 consecutive patients have been followed up for an average of 61 years In all cases, the initial procedure was bilateral recession of the lateral rectus muscles ThePatching of the good eye, to improve vision in the lazy (amblyopic) eye
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Exotropia is a condition in which the eyes drift outward and away from each other during times of equal visual stimulation It tends to occur regularly Exotropia isTreatment of Intermittent Exotropia What is Intermittent Exotropia? The treatment of incomitant deviations consists of treatment of the primary condition Intermittent Exotropia This is the most common form of exotropia and accounts for about 50–90% of all the
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Exotropia is a common type of strabismus that occurs when misaligned eyes deviate outward Exotropia (also known as walleye or divergent strabismus) differs from its opposite form, esotropia (eye turns in toward nose), in that exotropic eyes point outward or away from the nose Exotropia can occur in one or both eyesEsotropia is a condition that causes the eyes to turn inward It can emerge during the first year of life, or it may appear in adulthood as a result of an underlying condition, such as diabetesIntroduction Intermittent exotropia is the most common form of exotropia and it is estimated that approximately 3% of Chinese teenagers suffer from this condition 1 The treatment of intermittent exotropia includes watchful observation, 2,3 patching, 2,3 prism, 4,5 overminus lens, 6 vision therapy 7–13 and surgery 14,15 Currently, there is no consensus regarding which treatment
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Exotropia treatment Treatment will vary depending on the severity of exotropia Some cases will have a relatively simple treatment plan, but others may require surgery Intermittent exotropia, which occurs occasionally, may only need to be monitored Nonsurgical exotropia treatment If exotropia is constant, an eye doctor may recommendIntermittent alternating exotropia may require substantially more of office therapy, if complicated by associated conditions such as prior eye muscle surgery, cerebral vascular accident, head trauma, and /or other systemic FOLLOWUP CARE At the conclusion of the active treatment regimen, periodic followup evaluation is requiredTreatment for exotropia depends on how often you have symptoms and on how severe they are Prism in your glasses may be prescribed to help with double vision Eye muscle surgery is also an option, especially if your exotropia is Kellogg Eye Center Exotropia 2!!
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Exotropia is a common form of strabismus characterized by an outward eye turn, away from the nose Exotropia is a eye turn where one eye points outwards, this may be noticed while the child is looking at distance objects, near objects or bothBasic exotropia results when the exotropia has approximately the same magnitude and frequency at distance and near About 50% of all intermittent exotropia falls into this category1,2,3 In recent years, there has been abundant literature supporting the fact that adult strabismus surgery improves cosmesis and binocular function4,5,6,7 Intermittent exotropia is the most common form of strabismus, characterized by an intermittent outward deviation of the eyes, affecting as much as 1% of the population 1,2 This condition most often presents in childhood and affects females more than males Control of the intermittent deviation can vary throughout the day 3,4
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Treatment for esotropia and exotropia aims to ensure proper vision in both eyes and straighten the eyes Among the treatment options for esotropia are Glasses to correct vision problems such as nearsightedness, farsightedness or astigmatism; Treatment of intermittent exotropia Intermittent exotropia should be treated immediately, as any misalignment indicates that the eyebrain connection is not working effectively The most successful treatment for strabismus is vision therapy, usually with other means such as eye patching, eyeglasses, and surgeryExotropia is a form of strabismus (eye misalignment) in which one or both of the eyes turn outward It is the opposite of crossed eyes, or esotropia Exotropia may occur from time to time (intermittent exotropia) or may be constant, and is found in every age
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Background The clinical management of intermittent exotropia has been discussed extensively in the literature, yet there remains a lack of clarity regarding indications for intervention, the most effective form of treatment and whether or not there is an optimal time in the evolution of the disease at which any treatment should be carried outOPTOMETRIC CLINICAL PRACTICE GUIDELINE CARE OF THE PATIENT WITH STRABISMUS ESOTROPIA AND EXOTROPIA Reference Guide for Clinicians Prepared by the American Optometric Association Consensus Panel Secondary exotropia results from a primary sensory deficit (sensory deprivation exotropia) or occurs as a result of treatment for esotropia (consecutive exotropia) Symtoms Patient with Childhood exotropia may present with– Patient may experience eyestrain following prolonged near work
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How Is Intermittent Exotropia Treated
Establishing the Diagnosis Definition and Classification Infantile exotropia is a relatively rare strabismus disorder characterized by outward deviation of one or both eyes Onset is before age 6 months and persists beyond this age (Figure 1) 1,2,3 It is classified as primary infantile exotropia, where patients are healthy with no evidence of systemic or ocular disease (Table 1) 2Treatment of Intermittent Exotropia In contrast to esotropia, which requires urgent intervention, the treatment of intermittent exotropia is elective These children have binocular fusion and are well aligned most of the time Eye muscle surgery is the treatment of choice for most forms of intermittent exotropia Exotropia is a category of Strabismus, a defect in which one's eyes deviate outward or away from each other The disease can either be in one eye or both Although Exotropia can occur at any age, younger children are majorly targeted The risks of Exotropia are equal in both male and female
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Treatment is successful in approximately 90% of cases presenting for optometric vision therapy, according to welldocumented studies using rigorous criteria15 In the Viewpoints feature, following this article, two authorities on divergence excess/intermittent exotropia describe their treatment approaches Dr Engaging patients (parents/families) in treatment decisions is increasingly recognised as important and beneficial Yet where the evidence base for treatment options is limited, as with intermittent distance exotropia (X(T)), this presents a challenge for families and clinicians The purpose of this study was to explore how decisions are made in the managementExotropia is a form of strabismus where the eyes are deviated outward It is the opposite of esotropia and usually involves more severe axis deviation than exophoriaPeople with exotropia often experience crossed diplopiaIntermittent exotropia is a fairly common condition "Sensory exotropia" occurs in the presence of poor vision in one eye
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Sensory exotropia – Poor vision in the eye causes it to turn outward and not work in tandem with the straight eye This type of exotropia can occur at any age Acquired exotropia is the result of disease, trauma, or other health problems, particularly those that affect the brain For example, stroke or Down syndrome can increase the risk ofExotropia The potential benefits of treatment for exotropia include promoting binocular vision and normal visual function in each eye Normal binocular alignment promotes a positive selfimage After strabismus surgery, adults have reported improved confidence, selfesteem, and interpersonal interactions Exotropia is a common condition It comprises 25% of all ocular misalignment cases in young childrenWhile it could happen periodically (eg, intermittent exotropia), it could also be constant However, it is more typical to find exotropia developed while a child is 1 to 4 years old
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Intermittent exotropia (X(T)) is one of the most common form of strabismus with surgery being the mainstay of treatment The main goal of surgery is to preserve binocular vision and stereopsis and to prevent its further loss The decision to operate is mainly based on four aspects increasing angle of exodeviation, deteriorating control of X(T), decrease in stereopsisThe most common cause of hypertropia is palsy (weakness) in one of the cranial nerves, the third or fourth nerve Hypertropia may also coexist with infantile strabismus, esotropia or exotropia Other causes of hypertropia include problems that may be congenital (present at birth) or develop later 3rd or 4th cranial nerve palsy Exotropia with neurologic causes and field defects Exotropia with bilateral homonymous visual field defects Nonsurgical methods of treatment, such as patching, prisms, or botulinum toxin injections, should be tried before surgical realignment Exotropia with bitemporal visual field defects Nonsurgical treatment includes the use of prisms to
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Intermittent exotropia is a condition in which one eye turns outwards (diverges) intermittently, mainly when looking at objects in the distance The outward turn may be more noticeable when the child is tired or daydreaming
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