Journal of the Korean Ophthalmological Society 2006;47(11):1781-1790.
Published online November 30, 2006.
Control Grade of Intermittent Exotropia and Related Factors.
Byung Chun Park, Ju Yeon Lee
Department of Ophthalmology, Hallym University Sacred Heart Hospital, Gyeonggi-do, Korea. ljy690725@hanmail.net
간헐외사시의 편위조절정도와 관련 인자
박병춘,이주연
Department of Ophthalmology, Hallym University Sacred Heart Hospital, Gyeonggi-do, Korea
Correspondence:  Byung Chun Park, M.D.
Abstract
PURPOSE
To determine the degree of control-grade of exotropia and related clinical factors in patients diagnosed with intermittent exotropia. METHODS: One hundred seventy-six patients with a diagnosis of intermittent exotropia were evaluated for control of their deviation. The relationship to age at onset and diagnosis, time interval between the onset and diagnosis, refractive error, visual acuity, near stereopsis, angle of deviation, type of exotropia, accompanied hypertropia, oblique overaction and AV pattern were investigated. RESULTS: Mean control grade is 2.76+/-1.56 point and 114 (65%) were within range of grades from excellent to fair. Poor control of exotropia was significantly correlated with poor near stereopsis (p=0.000), long time interval (p=0.033), binocular amblyopia (p=0.000), large angle of exodeviation (p=0.028), convergence insufficiency type (p=0.017), accompanied hypertropia (p=0.008), AV pattern (p=0.003), and oblique overaction (p=0.000). Among these factors, the influences of stereopsis, hypertropia, oblique overaction, convergence insufficiency type were statistically significant when multiple linear regression analysis was performed (p=0.000, 0.026, 0.044, 0.011 respectively). CONCLUSIONS: The factors of near stereopsis, accompanied hypertropia, oblique overaction and convergence insufficiency type correlated significantly with control of exotropia which may interfere with fusion and contribute to the prognosis of intermittent exotropia.
Key Words: Control;Intermittent exotropia


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