Refractive Error Development in Children with Intermittent Exotropia
Background and Objective: Intermittent exotropia is the most common type of outward deviation of the eye in childhood. The association between myopia refractive error and intermittent exotropia has been shown in very few studies. This study was conducted to investigate the association between variou...
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Babol University of Medical Sciences
2024-03-01
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| Series: | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul |
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| Online Access: | http://jbums.org/article-1-11517-en.pdf |
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| author | F Senobari M Etezad Razavi M Najjaran H Ostadimoghaddam E Bakhtiari |
| author_facet | F Senobari M Etezad Razavi M Najjaran H Ostadimoghaddam E Bakhtiari |
| author_sort | F Senobari |
| collection | DOAJ |
| description | Background and Objective: Intermittent exotropia is the most common type of outward deviation of the eye in childhood. The association between myopia refractive error and intermittent exotropia has been shown in very few studies. This study was conducted to investigate the association between various refractive errors and the course of their changes in patients with intermittent exotropia.
Methods: This retrospective study was conducted on 130 patients with intermittent exotropia younger than 16 years of age who referred to Khatam-al-Anbia Eye Hospital in Mashhad. The records of patients with follow-up were reviewed in terms of age, gender, and near and distance angles of deviation using cover test, type and grade of refractive errors at the initial visit and subsequent visits using cycloplegic drops, types of treatments performed, and dominance of the patients' eyes. Changes in refractive errors during different visits in the patients were examined and compared.
Findings: The mean age of the patients was 5.64±4.08 years, of which 77 (59.2%) were girls. The mean distance deviation angle of the patients was 30.79±12.13 prism diopters and the mean near deviation angle was 24.27±17.85 prism diopters. The most common treatment performed for the patients was patch therapy (57.4%). At the initial visit, 77 patients (54%) were hyperopic. In the non-dominant eye, changes in refractive errors towards a decrease in spherical refraction were significant (p=0.002).
Conclusion: The results of this study showed that most patients were hyperopic and the course of changes was towards a decrease in spherical equivalent (shift towards myopia). |
| format | Article |
| id | doaj-art-844d9bc3d56d4b4bbdcd32afe6b9df5e |
| institution | DOAJ |
| issn | 1561-4107 2251-7170 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Babol University of Medical Sciences |
| record_format | Article |
| series | Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul |
| spelling | doaj-art-844d9bc3d56d4b4bbdcd32afe6b9df5e2025-08-20T02:48:50ZengBabol University of Medical SciencesMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul1561-41072251-71702024-03-012600Refractive Error Development in Children with Intermittent ExotropiaF Senobari0M Etezad Razavi1M Najjaran2H Ostadimoghaddam3E Bakhtiari4 1.Eye Research Center, Mashhad University of Medical Sciences, Mashhad, I.R.Iran. 1.Eye Research Center, Mashhad University of Medical Sciences, Mashhad, I.R.Iran. 2.Refractive Errors Research Center, Mashhad University of Medical Sciences, Mashhad, I.R.Iran. 2.Refractive Errors Research Center, Mashhad University of Medical Sciences, Mashhad, I.R.Iran. 1.Eye Research Center, Mashhad University of Medical Sciences, Mashhad, I.R.Iran. Background and Objective: Intermittent exotropia is the most common type of outward deviation of the eye in childhood. The association between myopia refractive error and intermittent exotropia has been shown in very few studies. This study was conducted to investigate the association between various refractive errors and the course of their changes in patients with intermittent exotropia. Methods: This retrospective study was conducted on 130 patients with intermittent exotropia younger than 16 years of age who referred to Khatam-al-Anbia Eye Hospital in Mashhad. The records of patients with follow-up were reviewed in terms of age, gender, and near and distance angles of deviation using cover test, type and grade of refractive errors at the initial visit and subsequent visits using cycloplegic drops, types of treatments performed, and dominance of the patients' eyes. Changes in refractive errors during different visits in the patients were examined and compared. Findings: The mean age of the patients was 5.64±4.08 years, of which 77 (59.2%) were girls. The mean distance deviation angle of the patients was 30.79±12.13 prism diopters and the mean near deviation angle was 24.27±17.85 prism diopters. The most common treatment performed for the patients was patch therapy (57.4%). At the initial visit, 77 patients (54%) were hyperopic. In the non-dominant eye, changes in refractive errors towards a decrease in spherical refraction were significant (p=0.002). Conclusion: The results of this study showed that most patients were hyperopic and the course of changes was towards a decrease in spherical equivalent (shift towards myopia).http://jbums.org/article-1-11517-en.pdfintermittent exotropiamyopiarefractive errors. |
| spellingShingle | F Senobari M Etezad Razavi M Najjaran H Ostadimoghaddam E Bakhtiari Refractive Error Development in Children with Intermittent Exotropia Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul intermittent exotropia myopia refractive errors. |
| title | Refractive Error Development in Children with Intermittent Exotropia |
| title_full | Refractive Error Development in Children with Intermittent Exotropia |
| title_fullStr | Refractive Error Development in Children with Intermittent Exotropia |
| title_full_unstemmed | Refractive Error Development in Children with Intermittent Exotropia |
| title_short | Refractive Error Development in Children with Intermittent Exotropia |
| title_sort | refractive error development in children with intermittent exotropia |
| topic | intermittent exotropia myopia refractive errors. |
| url | http://jbums.org/article-1-11517-en.pdf |
| work_keys_str_mv | AT fsenobari refractiveerrordevelopmentinchildrenwithintermittentexotropia AT metezadrazavi refractiveerrordevelopmentinchildrenwithintermittentexotropia AT mnajjaran refractiveerrordevelopmentinchildrenwithintermittentexotropia AT hostadimoghaddam refractiveerrordevelopmentinchildrenwithintermittentexotropia AT ebakhtiari refractiveerrordevelopmentinchildrenwithintermittentexotropia |