IXT Treatments PDF
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Uploaded by ThriftyChaos
State University of New York College of Optometry
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Summary
This document presents various treatments for intermittent exotropia (IXT). It details surgical options like unilateral recession/resection (R&R) and bilateral lateral rectus recession (BLR), along with non-surgical choices such as watchful waiting, occlusion therapy, and over-minus lens correction. Results of retrospective and observational studies are also included.
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Treatments for IXT Surgical (IXT1) Unilateral recession/resection (R&R) Bilateral lateral rectus recession (BLR) Non-surgical Watc hful waiting (IXT2) O cc lusion therapy (IXT2) Over-minus lens c orrec tion (IXT3 +IXT5)* Prism (IXT6) Vision therapy...
Treatments for IXT Surgical (IXT1) Unilateral recession/resection (R&R) Bilateral lateral rectus recession (BLR) Non-surgical Watc hful waiting (IXT2) O cc lusion therapy (IXT2) Over-minus lens c orrec tion (IXT3 +IXT5)* Prism (IXT6) Vision therapy 20 IXT1: Surgery Option 1: Unilateral recession/resection (R&R) Rece ss (weaken) LR and resect (strengthen) MR Option 2: Bilateral lateral rectus recession (BLR) Rece ss (weaken) LR in both eyes Whic h is better? No statistically significant difference in outcome 21 IXTSurgery Retrospective studies : Recurrenc e 21%within 2 years (Koklanis et al, 2009) Consec utive ET Observational cohort study (Buck et al, 2012) 8%required a sec ond operation within 6 months Additional 21% manifested overcorrection at 6 month follow up 22 IXT2: Oc c lusion Therapy A Randomized Trial Comparing Results: Deterioration by 6 Part-time Patching with months Observation for Children with Intermittent Exotropia Objective: 3 to
