Overcorrecting Minus Lens Therapy for Treatment of Intermittent Exotropia

Caltrider, Nieca; Jampolsky, Arthur

doi:10.1016/s0161-6420(83)34412-2

Cited by 120 publications

(98 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some authors (3) have suggested that myopic patients overminused for exotropia became more myopic; however they considered the amount of myopia progression normal for myopic children of that age. Other studies (5,12) have also shown lack of association of overcorrection in exotropia and refractive changes.…”

Section: Discussionmentioning

confidence: 99%

“…Intermitent exotropia has been treated with overminus lens in order to stimulate accomodative convergence (1)(2)(3) . This therapy may reduce an exotropic deviation in children under six years old, with minimal symptoms of asthenopia.…”

Section: Abstract Introductionmentioning

confidence: 99%

“…Several authors have shown no substantial relationship between exotropia or excessive accommodation and myopia progression (3)(4)(5)(6)(7)(8)(9)(10)(11) . Once myopic shift could be an undesired side effect in overminused patients, this present work was conducted in order to evaluate refractive errors changes in children with intermittent exotropia under overcorrecting minus lens therapy.…”

Section: Abstract Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Refractive error changes in children with intermittent exotropia under overminus lens therapy

Paula¹,

Ibrahim²,

Martins³

et al. 2009

Arq. Bras. Oftalmol.

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Abstract Introductionmentioning

confidence: 99%

Section: Abstract Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Refractive error changes in children with intermittent exotropia under overminus lens therapy

Paula¹,

Ibrahim²,

Martins³

et al. 2009

Arq. Bras. Oftalmol.

View full text Add to dashboard Cite

“…(2) Part-time occlusion regimes 16 aim to improve control of the deviation by working against the suppression mechanisms; however, the effect of improved control may be temporary. (3) Minus lenses 17 or prisms 18 can be used to induce convergence, therefore reducing the amount of divergence. However, as most children with IDEX do not otherwise need to wear glasses this treatment may be difficult to persuade patients to accept and any positive treatment effects are again thought to be of limited duration.…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have been published, comparing treatment strategies, [9][10][11]13,17,19,20 but despite this there still appears to be a lack of clear evidence to guide clinicians in determining the most effective form of treatment and, if relevant, the age at which any such treatment should be carried out. Our aim in undertaking a systematic review was to report a comprehensive, clear, and unbiased review of the current evidence for the effectiveness of the various treatment modalities in restoring normal ocular alignment and preserving BSV.…”

Section: Introductionmentioning

confidence: 99%

Interventions for intermittent distance exotropia: review

Gnanaraj

Richardson

2004

Eye

View full text Add to dashboard Cite

Purpose Management decisions in intermittent distance exotropia vary and lack well-defined clinical guidelines. We undertook a systematic review in an attempt to clarify the effects of various surgical and nonsurgical treatments and to establish the significance of factors such as age with respect to outcome. The review was undertaken in collaboration with the Cochrane Eyes and Vision Group. Methods Electronic and manual searches were undertaken to identify randomised controlled trials of surgical or nonsurgical treatments for intermittent distance exotropia. We also contacted researchers active in this field for information about further published or unpublished studies. There were no language restrictions. Study abstracts identified from the searches were analysed independently by the two reviewers (SR and LG) and marked for inclusion, exclusion, or consideration. Reviewer analysis was compared and full papers for appropriate studies were requested. Results No randomised controlled trials were found that met our selection criteria. Conclusions The current literature consists mainly of retrospective reviews. These are difficult to compare and analyse due to variations in definition, intervention criteria, and outcome measures. However, there appears to be an agreement that the nonsurgical treatment is more appropriate in small-angle deviations or as a supplement to surgery. Studies supporting both early and late surgical intervention were found, so the optimal timing of surgical intervention could not be concluded. There is a need for robust clinical trials to improve the evidence base for the management of this condition.

show abstract

Distance/Near Differences in Intermittent Exotropia

Kushner¹

1998

Arch Ophthalmol

136

View full text Add to dashboard Cite

Background: Burian's classification of exotropia based on the difference between the distance deviation and near deviation (distance/near differences)leaves some questions unanswered. Controversy exists concerning whether the divergence excess pattern is caused by an excess of divergence or by excessive accommodative convergence. Much of the literature on this subject has been confusing because investigators did not eliminate tenacious proximal fusion as an artifact in calculating the ratio of accommodative convergence to accommodation (AC/A ratio). Previously, one of us (B.J.K.) proposed a classification system that respected this artifact and subdivided the classification system proposed by Burian.Methods: A total of 202 consecutive patients with an exotropia underwent a series of measurements to determine the respective role of accommodative convergence and tenacious proximal fusion as a cause for their distance/near differences. In addition, the value obtained by a rapid prism adaptation test as a possible substitute for 1 hour of monocular occlusion was studied.Results: In 98 patients, the initial distance deviation exceeded the near deviation. In 10 patients, the distance/ near differences were caused by a high AC/A ratio, which

show abstract

Overcorrecting Minus Lens Therapy for Treatment of Intermittent Exotropia

Cited by 120 publications

References 7 publications

Refractive error changes in children with intermittent exotropia under overminus lens therapy

Refractive error changes in children with intermittent exotropia under overminus lens therapy

Interventions for intermittent distance exotropia: review

Distance/Near Differences in Intermittent Exotropia

Contact Info

Product

Resources

About