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Does occlusion therapy improve control in intermittent exotropia?

Lina S AlKahmous1, Ahmed A Al-Saleh2

  • 1King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia.

Saudi Journal of Ophthalmology : Official Journal of the Saudi Ophthalmological Society
|December 23, 2016
PubMed

Insights

Occlusion therapy for intermittent exotropia (IXT) in children improved sensory status and fusional amplitudes. While it did not reduce the deviation angle, it may help postpone surgery and enhance surgical outcomes.

Area of Science:

  • Ophthalmology
  • Pediatric Ophthalmology

Background:

  • Intermittent exotropia (IXT) is a common childhood strabismus.
  • Effective management strategies are crucial for visual development.

Purpose of the Study:

  • To assess occlusion therapy's efficacy for IXT in Saudi Arabian children (4-10 years).
  • To emphasize the importance of patching for IXT management.

Main Methods:

  • Prospective cohort pilot study involving 21 untreated IXT patients.
  • Evaluated deviation angle, amplitudes, stereopsis, and control pre-, during, and post-occlusion therapy.

Main Results:

  • 11% showed a 50% decrease in deviation angle.
  • 55.5% achieved normal base-out fusional amplitudes.
  • 77% demonstrated successful control.

Conclusions:

  • Alternate occlusion therapy enhances sensory status and fusional amplitudes.
  • Occlusion therapy does not significantly alter the deviation angle.
  • It can be a valuable tool to delay surgery and potentially improve surgical outcomes in young children.
Abstract

Keywords:
Antisuppression therapyIntermittent exotropiaOcclusion therapyPatching

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