Management of Divergence Excess Exotropia with Overminus Lens Therapy.

Background: Intermittent exotropia is an outward misalignment of the eyes that is occasionally manifested when fusional mechanisms are exhausted. It can be preceded by an exophoria and can potentially worsen over time if left untreated. Treatment includes surgical and non-surgical options. Factors t...

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Publicado en:Optometry & Visual Performance Vol. 7; no. 4; pp. 222 - 229
Autor principal: Bellomy, Linda L.
Formato: case study Journal Article
Publicado: Optometric Extension Program Sep2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2019
      vid: 7
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      pub: Optometric Extension Program
      place: Lutherville Timonium, Maryland
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        atl: Management of Divergence Excess Exotropia with Overminus Lens Therapy.
      aug:
        au: Bellomy, Linda L.
        affil: Western University of Health Sciences College of Optometry Pomona, California
      sug:
        subj:
          Strabismus Diagnosis
          Strabismus Therapy
          Eyeglasses
          Equipment Design
          Child, Preschool
          Female
          Eye Pathology
          Treatment Outcomes
          Vision Tests
          After Care
          Visual Acuity
          Patient Compliance
          Child, Preschool: 2-5 years
          Female
      ab: Background: Intermittent exotropia is an outward misalignment of the eyes that is occasionally manifested when fusional mechanisms are exhausted. It can be preceded by an exophoria and can potentially worsen over time if left untreated. Treatment includes surgical and non-surgical options. Factors to consider in determining the optimal treatment plan may include the patient's age, cosmesis, and binocular status, as well as the frequency and magnitude of the deviation. Case Report: This case illustrates the use of overminus lens therapy as a passive treatment for intermittent exotropia of the divergence-excess type in a three-year-old female. Treatment resulted in stable visual acuities, decreased frequency of the exotropia, and improvement in distance stereoacuity. Conclusion: Overminus lens therapy can be an effective treatment for intermittent exotropia of the divergence-excess type, especially for young patients who may not respond well to other treatment options. Close monitoring of these patients is essential for early treatment intervention with the goal of preserving and enhancing binocular vision.
      pubtype: Academic Journal
      doctype:
        case study
        Journal Article
      ougenre: Article
    language: English
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