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An office-based scale for assessing control in intermittent exotropia

Brian G Mohney1, Jonathan M Holmes

  • 1Department of Ophthalmology, Mayo Clinic College of Medicine, Rochester, MN 55905, USA. mohney@mayo.edu

Strabismus
|September 5, 2006
PubMed

Insights

A new scale effectively measures control in children with intermittent exotropia, a condition lacking standard progression criteria. This tool aids in assessing the wide range of control levels observed in pediatric patients.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology
  • Strabismus Management

Background:

  • Intermittent exotropia progression lacks standardized measurement criteria.
  • Assessing control levels is crucial for managing this common pediatric eye disorder.

Purpose of the Study:

  • To prospectively evaluate a novel scale for assessing the level of control in children diagnosed with intermittent exotropia.
  • To establish a quantifiable method for measuring control in pediatric intermittent exotropia.

Main Methods:

  • Prospective evaluation of 30 pediatric patients (<14 years) with intermittent exotropia.
  • Utilized a new scale to assess control for both distance and near fixation (0-5 each).
  • Combined distance and near scores to obtain an overall control score (0-10).

Main Results:

  • The study included 30 patients with a median age of 72 months.
  • Distance control was consistently worse than or equal to near control in all patients.
  • Observed control scores ranged from 0-5 for distance, 0-4 for near, and 0-8 overall (median 3).

Conclusions:

  • The new scale is easily applicable in clinical settings for assessing intermittent exotropia control.
  • This tool effectively characterizes the diverse range of control levels in pediatric patients.
  • Provides a valuable method for quantifying control in intermittent exotropia management.
Abstract

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