Exercises, Intermittent Exotropia
Conditions
Keywords
Intermittent Exotropia, Oculo-Motor Exercises, Physiotherapy, Intermittent Exotropia Survey
Brief summary
In childhood strabismus, exotropia is most frequently seen with intermittent exotropia and convergence failure in the first decade of life. This situation adversely affects children's psychosocial development and creates worries about personal relationships and work life in their future lives. Patients' hesitant attitudes towards surgical treatment led to the out-of-surgery techniques such as exercise therapy. No studies have been found in the literature on the efficancy of the intermittent exotropia treatments with oculo-motor exercises. In our study, it was aimed to investigate the effects of oculo-motor exercises on intermittent exotropia in children.
Detailed description
50 volunteer school-aged children between 2-17 years of age) were included in our study. Oculo-motor home exercise protocols were given to all participants for 2 sessions per day for 6 weeks, and regular phone calls were made once a week. Participants were assessed cycloplegic refraction by autorefractometry, corrected and uncorrected visual acuity by snellen chart, ocular motility test, near and distant alternating prism cover test, streopsis test and patient satisfaction levels by intermittent exotropia survery.
Interventions
BEHAVIORALOculo-Motor Exercises (OME)
Oculomotor Exercises (OME); The saccadic eye movement exercise included moving the eyes horizontally between two stationary targets while keeping the head still. The smooth pursuit exercise included moving the target horizontally and tracking it with the eyes while keeping the head still. The adaptation X1 exercise included moving the head horizontally while keeping the stationary target in focus. The adaptation X2 exercise included moving the head and target in opposite directions horizontally while tracking the target with the eyes.
Sponsors
Medipol University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
2 Years to 17 Years
Healthy volunteers
Yes
Inclusion criteria
* Be between 2 and 17 years of age * Intermittent exotropia diagnosis * To have mental capacity in the level to understand and do exercises
Exclusion criteria
* Not complying with age criteria * Constant exotropia * Having undergone eye surgery * Those with systemic disease that prevent exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Prism cover test | 6 weeks | Near and distant alternating prism cover test |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Streopsis test | 6 weeks | Three-dimensional visual assessment |
| Intermittent exotropia survery | 6 weeks | Level of patient satisfaction |
| Visual acuity | 6 weeks | Snellen chart |
Countries
Turkey (Türkiye)
Outcome results
None listed