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