In this case, you would operate on the lateral rectus muscle of each eye the. One or both eyes turn out toward the ear occasionally. Has anyone had success with using an eye patch to treat. Exotropia may occur from time to time intermittent exotropia or may be constant, and is found in every age group see figures 1 and 2. These findings are similar to those previously reported in the 3 to 10year cohort. Exotropia american association for pediatric ophthalmology and.
The first study will explore the natural history of intermittent exotropia by comparing patching against no treatment. It can emerge during the first year of life, or it may appear in adulthood as a result of an underlying condition, such as diabetes. If the strabismus is unilateral meaning that the same eye always turns in the good eye may be patched to make the bad eye work and avoid vision loss. Unlike a pure phoria, intermittent exotropia spontaneously breaks down into a manifest exotropia. People with exotropia tend to favor the aligned eye. Exotropia is a type of strabismus misaligned eyes in which one or both of the eyes turn outward. It is the opposite of esotropia and usually involves more severe axis deviation than exophoria. A twohour dose of patching has been recommended, but my child will only wear the patch for half an hour. Exotropia a common type of strabismus is the outward deviation of an eye eye turns away from the nose. Untreated exotropia can lead to permanent vision loss in the form of amblyopia or damage to the eye muscles. We discovered it when she was about 7 months, but doctor said not to do anything about it then.
Has anyone had success with using an eye patch to treat strabismus. Exotropia is a condition in which one or both eyes turn outward away from the nose. Parttime patching vs observation for intermittent exotropia. Intermittent exotropia is a fairly common condition. Shed love to hear from anyone else dealing with intermittent exotropia. Infantile exotropia sometimes called congenital exotropia is seen during the first year of life, and is less common than essential exotropia which usually becomes apparent several years later. Esotropia is a condition that causes the eyes to turn inward. But on the contrary, patching is done on the eye that is less deviated i. Eye misalignment in which one eye deviates outward away from nose while the other fixates normally. In intermittent xt usually the eyes take turns deviating outwards, with the one that turns out more often risking becoming more lazy. I cant understand why such a simple solution to a mild adult strabismus is not in the repertoire of every eye care provider.
The flaws of patching is that it has the potential to train your eyes to work separately. Vision therapy is an individualized, supervised, treatment program designed to correct visualmotor andor perceptualcognitive deficiencies. The eye turn may occur 100% of the time and is called constant or some of the time and is called intermittent. Surgical correction of intermittent exotropia is a breadandbutter procedure for many. Cause of intermittent exotropia the cause of this condition is not known. A tale of intermittent exotropia and amblyopia does.
Esotropia is an eye condition where either one or both of your eyes turn inward. Intermittent exotropia is a very common type of eye misalignment. Eye coordination may not be developed enough to provide normal control of the persons binocular vision. Can glasses or patching be used to treat convergence insufficiency. Exotropia pictures,symptoms,causes,complications and. Exotropia may occur rarely and result in few or no symptoms. A randomized trial evaluating shortterm effectiveness of. Since the brain and eyes work properly some of the time, time is on your side.
The aim of this study was to evaluate the effectiveness of occlusion therapy in the control of intermittent exotropia ixt in children between 4 and 10 years in saudi arabia. This disorder is characterized by an inability of the eyes to work in unison when the child attempts to use the. Only one eye turns out at a time while the other eye points straight forward. This study will highlight the importance of patching ixt patients and. 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 out. Exotropia a muscle condition in which when both eyes are open, one eye is turned outwards. This is the opposite of what you want to do to obtain proper binocular vision. The investigators examined parttime patching for intermittent exotropia in children 12 to 35 months old. Prevalence exodeviations are much more common in latent or intermittent form than are esodeviations. Intermittent exotropia is the most common type of exotropia in children.
Exotropia may occur from time to time intermittent exotropia or may be constant, and. Donahue, who is also the protocol chair and a member of the pediatric eye disease investigator group pedig executive committee, described two studies on intermittent exotropia that are underway. Intermittent exotropia is a condition in which there are times when one eye has. You may find more technical information on intermittent exotropia on the eyewiki site. How to take on strabismus in adults often mislabeled a childhood disease, strabismus can be treated in adults, with visual and psychosocial benefits. If it doesnt work then strabismus surgery is a possibility. Intermittent exotropia is when there are times when one eye has drifted outwards, and other times when the eyes are straight. Treatment options consist of vision therapy, patching, eyeglasses andor, very rarely, surgery. Most experts believe that the brain of affected patients has trouble. It does not treat the poor vision in the amblyopic eye, this can only be done by patching atropine drops and or glasses. Parttime patch therapy for treatment of intermittent exotropia full. Strabismus, or misalignment of the eyes, does run in families.
Exotropia strabismus, eye turn rehabilitation vision. Squint clinic visual development what is amblyopia. New research sheds light on intermittent exotropia american. Prolonged therapy does not show significant advantages and is usually unnecessary. Exotropia, commonly called wandering eye or walleye or crosseyes, is the visual condition in which a person uses only one eye to look at an object while the other eye turns outward. I took her to the paediatric opthalmologist when she was almost 6 months old. Contrary to the earlier practice of patching one eye for 24 hrs, it is now found.
A randomized trial comparing parttime patching with observation for children 310 years of age with intermittent exotropia. When the eye turns outward only some of the time, it is called intermittent exotropia. Intermittent exotropia is one of the most common types of eye misalignment in children. Poor vision in the eye causes it to turn outward and not work in tandem. Exotropia is one of several types of strabismus, a condition resulting in eye turns or deviating eyes. There is a rhythmic coordination among these muscles and if any of the muscle functions abnormally different types of strabismus including exotropia may rise. Exotropia refers to an outward deviation of the eyes. While such patching preserves sight, it does little to develop depth perception and can occasionally cause the strabismus to decompensate and the eye to turn in more often. Intermittent exotropia is often treated using glasses with special lenses overminus glasses. Strabismus treatment after or without strabismus surgery.
Strabismus, whether it is newonset or a reappearance of childhood strabismus, can usually be successfully treated in adults. Intermittent exotropia may progress to constant exotropia. However, in some people, it may become more frequent or even progress to the point of becoming constant. Of all the exotropia intermittent exotropia comprises. My 8 month old daughter is diagnosed with intermittent exotropia two days ago.
Does occlusion therapy improve control in intermittent exotropia. Over a 5month period, there was no significant change in intermittent exotropia with or without patching for 3 hours per day. New research sheds light on intermittent exotropia. Does occlusion therapy improve control in intermittent. Then i was questioned if i ever noticed anything odd with her right eye by her pediatrician. Eye patching for amblyopia, surgery for esotropia restore. Does patching ever helps treat intermittent exotropia. Exotropia often begins as an intermittent problem, noticed only when the. Pediatric ophthalmologists debate merits of patching. People with exotropia often experience crossed diplopia. Sensory exotropia occurs in the presence of poor vision. Several muscles work together and help in the eye movement. Exotropia is a form of strabismus eye misalignment in which one or both of the eyes turn outward. Exotropia is a form of strabismus where the eyes are deviated outward.
I have never cured intermittent exotropia with patching, but i have read in the journals that some people are cured. Exotropia condition ut southwestern medical center. Convergence insufficiency american association for. The initial treatment for children with amblyopia and a refractive error, should be.
Remember that lazy eye is not a diagnosis and is a very imprecise term since the following medical terms are sometimes called a lazy eye. Then ure enough i took her to the pediatrician and then to the ophthalmologist and she has exotropia and has to wear an eye patch. The condition can begin as early as the first few months of life or any time during childhood. On the other hand, surgery is permanent and if doesnt work, it is a real mess to go back and fix it with therapy. Intermittent exotropia causes the eye to sometimes move outward, often when. If the child has a significant refractive error, be it long sightedness, short sightedness or astigmatism, glasses will be prescribed. The doctor didnt see anything and told me that she will grow out of it. Poor vision in the eye causes it to turn outward and not work in tandem with the straight eye. Exotropia in 2yd old the daycare provider noticed that one of my babys eyes are misaligned. A tale of intermittent exotropia and amblyopia does vision therapy help. These glasses are like those prescribed for nearsighted people. She was right where she should be at for motor skills and growth even though she is small.
In many cases, the eye turn might only be visible during stressful situations or when the person is tired, ill or. If surgery is performed, possible complications can include bleeding, surgical wound infections, swelling of the eyelid, and repeat surgeries for recurring exotropia. Intermittent exotropia caused by common near vision disorder. One method of therapy to resolve convergence insufficiency is the use of baseout prisms which force the system to work harder to converge. If these are normal, we will recommend exercises or do some patching or. Exotropia college of optometrists in vision development. Intermittent exotropia is an exodeviation intermittently controlled by fusional mechanisms. Some visual conditions cannot be treated adequately with just glasses, contact lenses andor patching, and are best resolved through a program of vision therapy.
362 87 850 105 1489 72 1253 1498 1139 227 758 128 291 866 348 593 1124 1431 1102 1435 1480 1531 224 501 1339 1097 462 566 1062 521 208 867 315 13 153 977 1114 742 839 1077 318 145 1036 1447 879 331 1224 534