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Descripteurs (mots clés)
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Exotropie
A form of ocular misalignment where the visual axes diverge inappropriately. For example, medial rectus muscle weakness may produce this condition as the affected eye will deviate laterally upon attempted forward gaze. An exotropia occurs due to the relatively unopposed force exerted on the eye by the lateral rectus muscle, which pulls the eye in an outward direction.
Synonyme(s)
Strabisme divergent; Exotropie secondaire; Strabisme divergent secondaire; Exotropie monoculaire; Strabisme divergent monoculaire; Exotropie primitive; Strabisme divergent primitif; Exotropie alternante; Exotropie intermittente; Strabisme divergent alternant; Strabisme divergent intermittent; ExophorieRelation(s)
- voir aussi au terme générique : [Descripteurs (mots clés)] Strabisme
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Comparison of Myopia Progression among Myopic Children with Intermittent Exotropia and No Strabismus / Suzie Kim in OVS : Optometry & Vision Science, vol. 100, 08 (Aout 2023)
[article]
in OVS : Optometry & Vision Science > vol. 100, 08 (Aout 2023)
Titre : Comparison of Myopia Progression among Myopic Children with Intermittent Exotropia and No Strabismus Type de document : article de périodique Auteurs : Suzie Kim ; Allison Babiuch ; Huijun Xiao ; Alexandra Williamson Année de publication : 2023 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Comorbidité
[Thésaurus Mesh]Enfant
[Thésaurus Mesh]Étude comparative
[Thésaurus Mesh]Évolution de la maladie
[Thésaurus Mesh]Exotropie
[Thésaurus Mesh]MyopieMots-clés : exotropie intermittente et sans strabisme Résumé : SIGNIFICANCE
Myopia is a highly prevalent condition in the pediatric population that is commonly comorbid with intermittent exotropia. Our study found a trend toward significance in the reduction of myopia progression with strabismus correction surgery. Further investigations characterizing the interaction between myopia and strabismus may help inform future management guidelines.
PURPOSE
This study describes and compares myopic progression in the pediatric population with and without intermittent exotropia and its interaction with corrective strabismus surgery.
METHODS
This study analyzed a retrospective cohort of 1239 pediatric myopic patients who were evaluated by pediatric ophthalmologists and optometrists at a tertiary care center from 2012 to 2020. The main outcome measures were the trends in refractive error over time in those with and without intermittent exotropia as well as trends in those who did and did not undergo strabismus surgery.
RESULTS
A total of 275 patients (22%) were identified to have intermittent exotropia, and 12 (4.4%) from this group underwent surgical correction in the study period. No statistically significant difference was identified in myopic progression between those with intermittent exotropia and those without strabismus, and no difference was found in mean annual spherical equivalent change between intermittent exotropia patients who did not undergo surgery compared with those who did.
CONCLUSIONS
Pediatric myopic patients generally experience progression in the condition for several years independent of concurrent intermittent exotropia. Corrective strabismus surgery was not found to alter the natural history of myopia in children, although a reduction in myopic progression in surgically treated patients trended toward significance. Increases in the prevalence of different treatment strategies will necessitate further studies to determine best practices for this population.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Dépistage du strabisme / A. Sauer in Journal de pédiatrie et puériculture, vol.26, 2 (Avril 2013)
[article]
in Journal de pédiatrie et puériculture > vol.26, 2 (Avril 2013) . - 79-82
Titre : Dépistage du strabisme Type de document : article de périodique Auteurs : A. Sauer, Auteur ; Claude Speeg-Schatz, Auteur Article en page(s) : 79-82 Descripteurs (mots clés) : [Thésaurus Mesh]:A:Amblyopie:Amblyopie / étiologie
[Thésaurus Mesh]:~termes non classés:Strabisme /Dépistage
[Thésaurus Mesh]:~termes non classés:Troubles de la réfraction oculaire /Enfant
[Thésaurus Mesh]Cataracte
[Thésaurus Mesh]Ésotropie
[Thésaurus Mesh]Exotropie
[Thésaurus Mesh]Nystagmus optocinétique
[Thésaurus Mesh]RétinoblastomeRésumé : Le strabisme est un défaut de parallélisme des axes visuels. Sa prise en charge médicale est une urgence fonctionnelle face au risque d’apparition d’une amblyopie. De plus, tout strabisme doit faire rechercher une pathologie organique sous-jacente. Quelques éléments d’interrogatoire et de l’examen clinique du patient permettent de séparer les enfants nécessitant une prise en charge urgente de ceux dont le pronostic visuel n’est pas menacé. Le rôle du pédiatre est ainsi majeur dans le dépistage du strabisme puis l’orientation du patient vers un ophtalmologiste. Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Intermittent Exotropia : Management Options and Surgical Outcomes / Kelley Davis Dasinger in Journal of behavioral optometry, vol.23, 02 (mars, avril)
[article]
in Journal of behavioral optometry > vol.23, 02 (mars, avril) . - 44-47
Titre : Intermittent Exotropia : Management Options and Surgical Outcomes Type de document : article de périodique Auteurs : Kelley Davis Dasinger, Auteur Année de publication : 2012 Article en page(s) : 44-47 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:S:Strabisme:Strabisme / chirurgie
[Thésaurus Mesh]:T:Troubles de la vision:Troubles de la vision / thérapie
[Thésaurus Mesh]ExotropiePermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Office-based Vergence and Accommodative Therapy for the Treatment of Intermittent Exotropia: A Pilot Study / Martin Ming-Leung Ma in OVS : Optometry & Vision Science, vol. 96, 12 (Décembre 2019)
[article]
in OVS : Optometry & Vision Science > vol. 96, 12 (Décembre 2019)
Titre : Office-based Vergence and Accommodative Therapy for the Treatment of Intermittent Exotropia: A Pilot Study Type de document : article de périodique Auteurs : Martin Ming-Leung Ma ; Ying Kang ; Mitchell M. Scheiman Année de publication : 2019 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]:E:Exotropie:Exotropie / thérapie
[Thésaurus Mesh]Adolescent
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Enfant
[Thésaurus Mesh]Exotropie
[Thésaurus HELB]:Optique:thérapie accommodativeRésumé : SIGNIFICANCE This study will help to demonstrate the potential value of office-based vergence/accommodative therapy for the treatment of intermittent exotropia and provide data that can be used for planning future clinical trials.
PURPOSE This study was designed to evaluate changes in the office control score after office-based vergence/accommodative therapy for intermittent exotropia.
METHODS This was a prospective, unmasked pilot study. Fourteen Chinese participants aged 6 to 18 years with intermittent exotropia (excluding the convergence insufficiency type) were enrolled. All participants received 60 minutes of office-based vergence/accommodative therapy with home reinforcement once per week for 12 weeks. Therapy included vergence, accommodation, saccades and pursuits, antisuppression, and monocular fixation in binocular field techniques. The primary outcome measure was the change in the office control score from the baseline visit to the 13-week outcome visit.
RESULTS All participants completed the study. The office control score at distance changed by −1.0 (95% confidence interval [CI] = −1.6 to −0.4; P = .005; Cohen's d effect size, 0.93). The distant Look And Cover, then Ten seconds Observation Scale for Exotropia score and distant Newcastle control score total score changed by −0.7 (95% CI, −1.2 to −0.2; P = .02; Cohen's d effect size, 0.55) and −1.9 (95% CI, −2.8 to −1.0; P < .001; Cohen's d effect size, 1.37), respectively. Although there was no significant change in the angle of distance exodeviation (−1.8 prism diopter [Δ] less exodeviation; 95% CI, −3.74 to 0.14Δ; P = .11), a significant change was observed in the near angle (−4.4Δ less exodeviation; 95% CI, −7.3 to −1.5Δ; P = .01; Cohen's d effect size, 0.79). There was no significant change in stereopsis or the Chinese Intermittent Exotropia Questionnaire score.
CONCLUSIONS In this select group of children with intermittent exotropia, 12 weeks of office-based vergence/accommodative therapy with home reinforcement resulted in a statistically and clinically significant improvement in the distance control of exodeviation and the near exodeviation magnitude. These results suggest that there is a need for a randomized clinical trial designed to determine the effectiveness of vision therapy as a treatment modality for intermittent exotropia.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire A Pilot Randomized Clinical Trial of Base-in Relieving Prism Spectacle Treatment of Intermittent Exotropia / Allison I. Summers in OVS : Optometry & Vision Science, Vol.100, 07 (Juillet 2023)
[article]
in OVS : Optometry & Vision Science > Vol.100, 07 (Juillet 2023)
Titre : A Pilot Randomized Clinical Trial of Base-in Relieving Prism Spectacle Treatment of Intermittent Exotropia Type de document : article de périodique Auteurs : Allison I. Summers ; David G. Morrison ; Danielle L. Chandler ; Robert J. Henderson ; Angela M. Chen ; David A. Leske ; Kimberly Walker ; Zhuokai Li ; B. Michele Melia ; Derek P. Bitner ; Sudhi P Kurup ; Megan Allen ; Paul H. Phillips ; [et al.] Année de publication : 2023 Langues : Français (fre) Descripteurs (mots clés) : [Thésaurus Mesh]Adaptation biologique
[Thésaurus Mesh]Enfant
[Thésaurus Mesh]Essai contrôlé randomisé
[Thésaurus Mesh]Exotropie
[Thésaurus HELB]:Optique:lunette correctrice
[Thésaurus HELB]:Optique:PrismeMots-clés : exotropie intermittente Résumé : SIGNIFICANCE
This pilot randomized trial, the first to evaluate a specific base-in relieving prism treatment strategy for childhood intermittent exotropia, did not support proceeding to a full-scale clinical trial. Defining and measuring prism adaptation in children with intermittent exotropia are challenging and need further study.
PURPOSE
This study aimed to determine whether to proceed to a full-scale trial of relieving base-in prism spectacles versus refractive correction alone for children with intermittent exotropia.
METHODS
Children 3 years old to those younger than 13 years with distance intermittent exotropia control score of ≥2 points on the Intermittent Exotropia Office Control Scale (Strabismus 2006;14:147–150; 0 [phoria] to 5 [constant]), ≥1 episode of spontaneous exotropia, and 16 to 35∆ by prism-and-alternate-cover test, who did not fully prism adapt on a 30-minute in-office prism-adaptation test were randomized to base-in relieving prism (40% of the larger of distance and near exodeviations) or nonprism spectacles for 8 weeks. A priori criteria to conduct a full-scale trial were defined for the adjusted treatment group difference in mean distance control: “proceed” (≥0.75 points favoring prism), “uncertain” (>0 to <0.75 points favoring prism), or “do not proceed” (≥0 points favoring nonprism).
RESULTS
Fifty-seven children (mean age, 6.6 ± 2.2 years; mean baseline distance control, 3.5 points) received prism (n = 28) or nonprism (n = 29) spectacles. At 8 weeks, mean control values were 3.6 and 3.3 points in prism (n = 25) and nonprism (n = 25) groups, respectively, with an adjusted difference of 0.3 points (95% confidence interval, −0.5 to 1.1 points) favoring nonprism (meeting our a priori “do not proceed” criterion).
CONCLUSIONS
Base-in prism spectacles, equal to 40% of the larger of the exodeviations at distance or near, worn for 8 weeks by 3- to 12-year-old children with intermittent exotropia did not yield better distance control than refractive correction alone, with the confidence interval indicating that a favorable effect of 0.75 points or larger is unlikely. There was insufficient evidence to warrant a full-scale randomized trial.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Rasch-calibrated Intermittent Exotropia Symptom Questionnaire for Children / Jonathan M. Holmes in OVS : Optometry & Vision Science, vol. 99, 06 (Juin 2022)
PermalinkStrabisme divergent intermittent / Marie Odile Pataut Renard in Revue Francophone d'Orthoptie, vol. 15, 04 (Octobre-décembre 2022)
PermalinkLe strabisme divergent intermittent (SDI), une revue narrative de la littérature autour des différents traitements / Ornella Josky Deugoue Etchieu
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