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ORIGINAL ARTICLE
Year : 1992  |  Volume : 40  |  Issue : 3  |  Page : 83-85

Role of orthoptic treatment in the management of intermittent exotropia


Department of Opththalmology, K.G's Medical College, Lucknow, India

Correspondence Address:
Vinita Singh
191, Dr. Baij Nath Road, New Hyderabad, Lucknow -226 007
India
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Source of Support: None, Conflict of Interest: None


PMID: 1302231

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30 patients of intermittent ACDS were studied prospectively for a period of 8 weeks to 1 year to evaluate the role of orthoptics in the management of these cases. In patients with convergence insufficiency and a maximum deviation of 25 PD or less the orthoptic treatment was found to be effective in offering symptomatic relief and improving binocular functional status. A reduction in the maximum angle of deviation by 4 PD to 8 PD was observed in 4 patients. Even though the basic angle of deviation remained unchanged in most of the patients, significant functional and symptomatic improvement was obtained in 64% to 85.7% of these cases. The long term stability of these results remains to be studied. In patients with a deviation of more than 25 PD there was no significant improvement in symptoms or reduction in maximum angle of deviation. In 6(37.5%) of these patients some improvement in the fusional range could be demonstrated on the synoptophore without any symptomatic relief.


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