Comparison of alternate part-time patching and pencil push-up training for patients with intermittent exotropia
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Open Access
- 29 November 2022
- journal article
- research article
- Published by Springer Nature in BMC Ophthalmology
- Vol. 22 (1) , 1-7
Abstract
Background: To compare the effect of alternate part-time patching and pencil push-up training on control ability in patients with intermittent exotropia. Methods: Patients (3–7 years old) with previously untreated intermittent exotropia were randomly assigned to receive alternate part-time patching, pencil push-up training, or observation. Control ability was assessed using the Office Control Score. Stereoacuity at 40 cm was evaluated with Titmus. Results were compared after a 12-week follow-up. Results: Ninety-two patients (28 in patching, 30 in pencil push-ups, and 34 in observation group) completed 12-week follow-up assessments. Based on 6-point scale, the mean deviation control was significantly better in patching and pencil push-up group after 12 weeks at distance (P = 0.002 and 0.026, respectively). Furthermore, there were greater control changes in patching and pencil push-up groups in comparison with observation group from baseline to 12 weeks (PP = 0.003, respectively). After 12 weeks of treatment, stereoacuity and stereoacuity changes were not significantly different between either the intervention group or control group (P = 0.140 and 0.393, respectively). Conclusions: Based on the common office control scale, alternate part-time patching and pencil push-up training were effective treatment strategies for intermittent exotropia.Keywords
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This publication has 18 references indexed in Scilit:
- A Randomized Trial Comparing Part-time Patching with Observation for Intermittent Exotropia in Children 12 to 35 Months of AgeOphthalmology, 2015
- Quantifying variability in the measurement of control in intermittent exotropiaJournal of American Association for Pediatric Ophthalmology and Strabismus, 2015
- A Randomized Trial Comparing Part-Time Patching with Observation for Children 3 to 10 Years of Age with Intermittent ExotropiaOphthalmology, 2014
- Improved Assessment of Control in Intermittent Exotropia Using Multiple MeasuresAmerican Journal of Ophthalmology, 2011
- Stability of near stereoacuity in childhood intermittent exotropiaJournal of American Association for Pediatric Ophthalmology and Strabismus, 2011
- Prevalence of and Early-Life Influences on Childhood StrabismusArchives of Pediatrics & Adolescent Medicine, 2010
- Preferred clinical practice in convergence insufficiency in India: A surveyIndian Journal Of Ophthalmology, 2008
- A Randomized Clinical Trial of Vision Therapy/Orthoptics versus Pencil Pushups for the Treatment of Convergence Insufficiency in Young AdultsOptometry and Vision Science, 2005
- A Randomized Clinical Trial of Treatments for Convergence Insufficiency in ChildrenArchives of Ophthalmology (1950), 2005
- The Newcastle Control Score: a new method of grading the severity of intermittent distance exotropiaBritish Journal of Ophthalmology, 2004