Amblyopia in patients with intermittent exotropia

Aims: The aim was to report the incidence and types of amblyopia in a large series of patients with intermittent exotropia at a single institution. Materials and Methods: The medical records of consecutive patients 4–30 years of age diagnosed with intermittent exotropia at our institution between Ja...

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Main Authors: Kanwar Mohan, Suresh Kumar Sharma
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Clinical Ophthalmology and Research
Subjects:
Online Access:http://www.jcor.in/article.asp?issn=2320-3897;year=2023;volume=11;issue=1;spage=36;epage=39;aulast=Mohan
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author Kanwar Mohan
Suresh Kumar Sharma
author_facet Kanwar Mohan
Suresh Kumar Sharma
author_sort Kanwar Mohan
collection DOAJ
description Aims: The aim was to report the incidence and types of amblyopia in a large series of patients with intermittent exotropia at a single institution. Materials and Methods: The medical records of consecutive patients 4–30 years of age diagnosed with intermittent exotropia at our institution between January 2000 and December 2017 were retrospectively reviewed for amblyopia. Results: A total of 2,058 patients diagnosed with intermittent exotropia during the study met the inclusion criteria. Of these patients, 40 (2%) had amblyopia and were the participants of this study. The mean patient age was 10.6 ± 4.2 years. Amblyopia was anisometropic in 35 (87%) patients and strabismic in 5 (13%) patients. Of the 35 patients with anisometropic amblyopia, 29 (83%) had spherical anisometropia and 6 (17%) had astigmatic anisometropia. There was no statistically significant difference in the number of patients and the mean anisometropia between patients with spherical anisomyopic and anisohyperopic amblyopia, and also between those with astigmatic anisomyopic and anisohyperopic amblyopia. There was no relation between the type of intermittent exotropia and anisometropic amblyopia. None of the patients with strabismic amblyopia had spherical or astigmatic anisometropia but had a preference for fixation with the nonamblyopic eye. There was no statistically significant difference in near and distance deviations between patients with anisometropic and strabismic amblyopia, and between those with anisomyopic and anisohyperopic amblyopia. Conclusions: Amblyopia was observed in 2% of our patients with intermittent exotropia. It was spherical anisometropic in a large majority of patients and strabismic in a few.
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spelling doaj.art-a64052820ff3457bafd82b2b91db41692023-02-16T12:26:06ZengWolters Kluwer Medknow PublicationsJournal of Clinical Ophthalmology and Research2320-38972023-01-01111363910.4103/jcor.jcor_117_22Amblyopia in patients with intermittent exotropiaKanwar MohanSuresh Kumar SharmaAims: The aim was to report the incidence and types of amblyopia in a large series of patients with intermittent exotropia at a single institution. Materials and Methods: The medical records of consecutive patients 4–30 years of age diagnosed with intermittent exotropia at our institution between January 2000 and December 2017 were retrospectively reviewed for amblyopia. Results: A total of 2,058 patients diagnosed with intermittent exotropia during the study met the inclusion criteria. Of these patients, 40 (2%) had amblyopia and were the participants of this study. The mean patient age was 10.6 ± 4.2 years. Amblyopia was anisometropic in 35 (87%) patients and strabismic in 5 (13%) patients. Of the 35 patients with anisometropic amblyopia, 29 (83%) had spherical anisometropia and 6 (17%) had astigmatic anisometropia. There was no statistically significant difference in the number of patients and the mean anisometropia between patients with spherical anisomyopic and anisohyperopic amblyopia, and also between those with astigmatic anisomyopic and anisohyperopic amblyopia. There was no relation between the type of intermittent exotropia and anisometropic amblyopia. None of the patients with strabismic amblyopia had spherical or astigmatic anisometropia but had a preference for fixation with the nonamblyopic eye. There was no statistically significant difference in near and distance deviations between patients with anisometropic and strabismic amblyopia, and between those with anisomyopic and anisohyperopic amblyopia. Conclusions: Amblyopia was observed in 2% of our patients with intermittent exotropia. It was spherical anisometropic in a large majority of patients and strabismic in a few.http://www.jcor.in/article.asp?issn=2320-3897;year=2023;volume=11;issue=1;spage=36;epage=39;aulast=Mohananisometropic amblyopiaintermittent exotropiastrabismic amblyopia
spellingShingle Kanwar Mohan
Suresh Kumar Sharma
Amblyopia in patients with intermittent exotropia
Journal of Clinical Ophthalmology and Research
anisometropic amblyopia
intermittent exotropia
strabismic amblyopia
title Amblyopia in patients with intermittent exotropia
title_full Amblyopia in patients with intermittent exotropia
title_fullStr Amblyopia in patients with intermittent exotropia
title_full_unstemmed Amblyopia in patients with intermittent exotropia
title_short Amblyopia in patients with intermittent exotropia
title_sort amblyopia in patients with intermittent exotropia
topic anisometropic amblyopia
intermittent exotropia
strabismic amblyopia
url http://www.jcor.in/article.asp?issn=2320-3897;year=2023;volume=11;issue=1;spage=36;epage=39;aulast=Mohan
work_keys_str_mv AT kanwarmohan amblyopiainpatientswithintermittentexotropia
AT sureshkumarsharma amblyopiainpatientswithintermittentexotropia