Exotropia in children with high hyperopia. J AAPOS 2012 Oct;16(5):437-40
Date
10/23/2012Pubmed ID
23084380Pubmed Central ID
PMC3479442DOI
10.1016/j.jaapos.2012.06.003Scopus ID
2-s2.0-84867785473 (requires institutional sign-in at Scopus site) 8 CitationsAbstract
PURPOSE: To describe the clinical characteristics, treatment, and subsequent clinical course of children with exotropia and high hyperopia.
METHODS: The medical records of 26 patients seen between 1990 and 2009 who had an exotropia and ≥4.00 D of hyperopia were retrospectively reviewed. We analyzed the clinical characteristics, treatments, and subsequent alignment outcomes.
RESULTS: A total of 26 patients between the ages of 2.5 months and 9 years were included. Of these, 15 had associated medical conditions or developmental delay. Of 22 patients with measured visual acuities, 19 had amblyopia (10 unilateral, 9 bilateral). None of the patients demonstrated fine stereoacuity. Twenty-three exotropic children were treated with spectacles: 15 were fully corrected, 10 of whose exotropia improved; 8 received partial correction of their hyperopia, 3 of whose exotropia improved. Six patients who presented with large, poorly controlled exotropia and did not improve with spectacle correction required strabismus surgery.
CONCLUSIONS: Children with high hyperopia and exotropia are likely to have developmental delay or other systemic diseases, amblyopia, and poor stereopsis. Treatment of high hyperopia in exotropic children with their full cycloplegic refraction can result in excellent alignment.
Author List
Kassem IS, Rubin SE, Kodsi SRMESH terms used to index this publication - Major topics in bold
AmblyopiaChild
Child, Preschool
Developmental Disabilities
Exotropia
Eyeglasses
Female
Humans
Hyperopia
Infant
Male
Ophthalmologic Surgical Procedures
Retrospective Studies
Treatment Outcome
Visual Acuity