Saturday, March 23, 2013

The improving outcomes in intermittent exotropia study: outcomes at 2 years after diagnosis in an observational cohort

The improving outcomes in intermittent exotropia study: outcomes at 2 years after diagnosis in an observational cohort

....At follow-up, data were available for 371 children (81% of the original cohort). .... 0.5% (2/371) children developed constant exotropia. The surgically treated group was the only group with clinically significant improvements in angle or Newcastle Control Score. ... 8%... of those treated surgically required second procedures for overcorrection within 6 months of the initial procedure and at 6-month follow-up 21% (13) were overcorrected....

Comments: The folks in the UK have been doing some outstanding research in the area of strabismus surgery outcomes. I certainly congratulate them!! Unfortunately, most strabismus surgery outcomes really show that for many patients strabismus surgery may not be ready for prime time just yet and an alternate form of treatment should be considered. Optometric vision therapy should be one of the first treatment options considered prior to any surgical intervention. Go to http://covd.org, http://oepf.org and/or http://aoa.org to find a doc who can help. If you click on the title above you can read the full article. DM

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