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Overminus Lens Therapy in the Management of Children with Intermittent Exotropia
PURPOSE: To evaluate the results of overminus lens therapy in the management of children with intermittent exotropia or X(T). METHODS: In this retrospective study, 163 consecutive patients with X(T) who were treated with overminus spectacles with at least 12 months of follow-up were included in the...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8102942/ https://www.ncbi.nlm.nih.gov/pubmed/34084955 http://dx.doi.org/10.4103/JOCO.JOCO_17_20 |
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author | Abri Aghdam, Kaveh Zand, Amin Soltan Sanjari, Mostafa Khorramdel, Shabnam Asadi, Reza |
author_facet | Abri Aghdam, Kaveh Zand, Amin Soltan Sanjari, Mostafa Khorramdel, Shabnam Asadi, Reza |
author_sort | Abri Aghdam, Kaveh |
collection | PubMed |
description | PURPOSE: To evaluate the results of overminus lens therapy in the management of children with intermittent exotropia or X(T). METHODS: In this retrospective study, 163 consecutive patients with X(T) who were treated with overminus spectacles with at least 12 months of follow-up were included in the study. The outcome measures were the level of X(T) control evaluated using the Jampolsky's qualitative assessment method and refractive error changes under overminus lens treatment. RESULTS: The mean angle of deviation at the initial visit was 24.7 ± 15.1 prism diopters (PD) that improved to 10.6 ± 4.2 PD with overminus glasses with a median follow-up of 38 months (P = 0.02). One hundred and nine patients (66.8%) achieved good controlled X(T) or orthotropia by overminus lens therapy after 1 year. Three patients progressed to esotropia, which disappeared after discontinuing overminus lens therapy. Overminus lens therapy did not have a statistically significant effect on the mean spherical equivalent of cycloplegic refraction in each eye (right eye: P = 0.13; left eye: P = 0.15). CONCLUSIONS: Overminus lens therapy can be effective for improving the control of X(T) in young children. It can defer the requirement for surgery or decrease the rate of surgical intervention. |
format | Online Article Text |
id | pubmed-8102942 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-81029422021-06-02 Overminus Lens Therapy in the Management of Children with Intermittent Exotropia Abri Aghdam, Kaveh Zand, Amin Soltan Sanjari, Mostafa Khorramdel, Shabnam Asadi, Reza J Curr Ophthalmol Original Article PURPOSE: To evaluate the results of overminus lens therapy in the management of children with intermittent exotropia or X(T). METHODS: In this retrospective study, 163 consecutive patients with X(T) who were treated with overminus spectacles with at least 12 months of follow-up were included in the study. The outcome measures were the level of X(T) control evaluated using the Jampolsky's qualitative assessment method and refractive error changes under overminus lens treatment. RESULTS: The mean angle of deviation at the initial visit was 24.7 ± 15.1 prism diopters (PD) that improved to 10.6 ± 4.2 PD with overminus glasses with a median follow-up of 38 months (P = 0.02). One hundred and nine patients (66.8%) achieved good controlled X(T) or orthotropia by overminus lens therapy after 1 year. Three patients progressed to esotropia, which disappeared after discontinuing overminus lens therapy. Overminus lens therapy did not have a statistically significant effect on the mean spherical equivalent of cycloplegic refraction in each eye (right eye: P = 0.13; left eye: P = 0.15). CONCLUSIONS: Overminus lens therapy can be effective for improving the control of X(T) in young children. It can defer the requirement for surgery or decrease the rate of surgical intervention. Wolters Kluwer - Medknow 2021-03-26 /pmc/articles/PMC8102942/ /pubmed/34084955 http://dx.doi.org/10.4103/JOCO.JOCO_17_20 Text en Copyright: © 2021 Journal of Current Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Abri Aghdam, Kaveh Zand, Amin Soltan Sanjari, Mostafa Khorramdel, Shabnam Asadi, Reza Overminus Lens Therapy in the Management of Children with Intermittent Exotropia |
title | Overminus Lens Therapy in the Management of Children with Intermittent Exotropia |
title_full | Overminus Lens Therapy in the Management of Children with Intermittent Exotropia |
title_fullStr | Overminus Lens Therapy in the Management of Children with Intermittent Exotropia |
title_full_unstemmed | Overminus Lens Therapy in the Management of Children with Intermittent Exotropia |
title_short | Overminus Lens Therapy in the Management of Children with Intermittent Exotropia |
title_sort | overminus lens therapy in the management of children with intermittent exotropia |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8102942/ https://www.ncbi.nlm.nih.gov/pubmed/34084955 http://dx.doi.org/10.4103/JOCO.JOCO_17_20 |
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