Feature & Early Management of Childhood Intermittent Exotropia Patients Present in Tertiary Eye Care Center of Uttar Pradesh

Abstract

The Intermittent exotropia/IXT is a type of childhood strabismus in which the outward movement of one eye occurs intermittently, with inconsistent control of the binocular and decreased sensory capability. Early diagnosis and proper treatment is essential to preserve ocular positioning, binocular vision and stereopsis. The current paper was done to estimate the clinical presentations and initial treatment of childhood intermittent exotropia in patients in a tertiary eye-care centre in Uttar Pradesh. A quantitative, cross-sectional, retrospective study was undertaken in children aged 5-15 years old diagnosed with exotropia. Clinical records were used to collect information and included demographic factors, refractive status, alignment of oculars, the prism bar cover test (PBCT) distance angle and initial management plan. There were 115 patients used and the mean age was 7.57 ± 2.55. The study population was 51.3% women and 48.7% men. The strategy that had the highest prevalence of documentation was spectacle-only management (62.6%), which was then closely followed by occlusion/patching (24.3%), and surgery (10.4%). Statistically, the management strategy did not have a significant relationship with gender. Equally, age, PBCT distance angle and stere Isa, as well as, PBCT distance angle were also not statistically different in management groups (p<0.05). The results endorse early clinical review and personalized treatment of childhood IXT, and the conservative treatment is a significant part of the initial treatment.