The course of intermittent exotropia in a population-based cohort

Ophthalmology
Kevin J NuszNancy N Diehl

Abstract

To evaluate the change in the angle of deviation in an incidence cohort of pediatric patients diagnosed with intermittent exotropia during a 20-year period. Retrospective, population-based observational study. All pediatric (<19 years old) residents of Olmsted County, Minnesota diagnosed with intermittent exotropia (> or =10 prism diopters) from January 1, 1975 through December 31, 1994. The medical records of all potential patients identified by the resources of the Rochester Epidemiology Project were reviewed. The change in the angle of deviation and its association with treatment were reviewed for each patient. A total of 184 pediatric patients were diagnosed during the study period, of which 138 patients (75.0%) had > or =2 examinations. The deviation resolved in 5 of the 138 patients (3.6%) during a median follow-up of 9.2 years, while the Kaplan-Meier rate of increasing by 10 or more prism diopters (PD) was 23.1% at 5 years and 52.8% at 20 years. The distance deviation increased by a median of 5 PD during the preoperative period in the 55 patients who underwent surgery during a mean follow-up of 3.2 years compared with a zero PD median change in the 83 patients who avoided surgery during a mean follow-up of 7.1 years. The...Continue Reading

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Citations

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