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