Comparison of alternate part-time patching and pencil push-up training for patients with intermittent exotropia

Abstract Background To compare the effect of alternate part-time patching and pencil push-up training on control ability in patients with intermittent exotropia. Methods Patients (3–7 years old) with previously untreated intermittent exotropia were randomly assigned to receive alternate part-time pa...

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Main Authors: Desheng Song, Ling Yin, Danni Chen, Jing Qian, Zhijun Chen
Format: Article
Language:English
Published: BMC 2022-11-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-022-02705-3
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author Desheng Song
Ling Yin
Danni Chen
Jing Qian
Zhijun Chen
author_facet Desheng Song
Ling Yin
Danni Chen
Jing Qian
Zhijun Chen
author_sort Desheng Song
collection DOAJ
description Abstract Background To compare the effect of alternate part-time patching and pencil push-up training on control ability in patients with intermittent exotropia. Methods Patients (3–7 years old) with previously untreated intermittent exotropia were randomly assigned to receive alternate part-time patching, pencil push-up training, or observation. Control ability was assessed using the Office Control Score. Stereoacuity at 40 cm was evaluated with Titmus. Results were compared after a 12-week follow-up. Results Ninety-two patients (28 in patching, 30 in pencil push-ups, and 34 in observation group) completed 12-week follow-up assessments. Based on 6-point scale, the mean deviation control was significantly better in patching and pencil push-up group after 12 weeks at distance (P = 0.002 and 0.026, respectively). Furthermore, there were greater control changes in patching and pencil push-up groups in comparison with observation group from baseline to 12 weeks (P<0.001; P = 0.003, respectively). After 12 weeks of treatment, stereoacuity and stereoacuity changes were not significantly different between either the intervention group or control group (P = 0.140 and 0.393, respectively). Conclusions Based on the common office control scale, alternate part-time patching and pencil push-up training were effective treatment strategies for intermittent exotropia.
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spelling doaj.art-62a882a5e0a74050bfa85ca45412c39c2022-12-22T03:48:27ZengBMCBMC Ophthalmology1471-24152022-11-012211710.1186/s12886-022-02705-3Comparison of alternate part-time patching and pencil push-up training for patients with intermittent exotropiaDesheng Song0Ling Yin1Danni Chen2Jing Qian3Zhijun Chen4Department of Ophthalmology, Children’s Hospital of Nanjing Medical UniversityDepartment of Ophthalmology, The First Hospital of ChangshaDepartment of Ophthalmology, Children’s Hospital of Nanjing Medical UniversityDepartment of Ophthalmology, Children’s Hospital of Nanjing Medical UniversityDepartment of Ophthalmology, Children’s Hospital of Nanjing Medical UniversityAbstract Background To compare the effect of alternate part-time patching and pencil push-up training on control ability in patients with intermittent exotropia. Methods Patients (3–7 years old) with previously untreated intermittent exotropia were randomly assigned to receive alternate part-time patching, pencil push-up training, or observation. Control ability was assessed using the Office Control Score. Stereoacuity at 40 cm was evaluated with Titmus. Results were compared after a 12-week follow-up. Results Ninety-two patients (28 in patching, 30 in pencil push-ups, and 34 in observation group) completed 12-week follow-up assessments. Based on 6-point scale, the mean deviation control was significantly better in patching and pencil push-up group after 12 weeks at distance (P = 0.002 and 0.026, respectively). Furthermore, there were greater control changes in patching and pencil push-up groups in comparison with observation group from baseline to 12 weeks (P<0.001; P = 0.003, respectively). After 12 weeks of treatment, stereoacuity and stereoacuity changes were not significantly different between either the intervention group or control group (P = 0.140 and 0.393, respectively). Conclusions Based on the common office control scale, alternate part-time patching and pencil push-up training were effective treatment strategies for intermittent exotropia.https://doi.org/10.1186/s12886-022-02705-3Intermittent exotropiaAlternate part-time patchingPencil push-up training
spellingShingle Desheng Song
Ling Yin
Danni Chen
Jing Qian
Zhijun Chen
Comparison of alternate part-time patching and pencil push-up training for patients with intermittent exotropia
BMC Ophthalmology
Intermittent exotropia
Alternate part-time patching
Pencil push-up training
title Comparison of alternate part-time patching and pencil push-up training for patients with intermittent exotropia
title_full Comparison of alternate part-time patching and pencil push-up training for patients with intermittent exotropia
title_fullStr Comparison of alternate part-time patching and pencil push-up training for patients with intermittent exotropia
title_full_unstemmed Comparison of alternate part-time patching and pencil push-up training for patients with intermittent exotropia
title_short Comparison of alternate part-time patching and pencil push-up training for patients with intermittent exotropia
title_sort comparison of alternate part time patching and pencil push up training for patients with intermittent exotropia
topic Intermittent exotropia
Alternate part-time patching
Pencil push-up training
url https://doi.org/10.1186/s12886-022-02705-3
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