How do you fix alternating exotropia?
HOW IS EXOTROPIA TREATED? Non-surgical treatment may include glasses and, in some instances, patching therapy may be recommended. If the eyes are misaligned more often than they are straight, surgery on the eye muscles may be recommended to realign the eyes.
How rare is intermittent exotropia?
Prevalence – Exodeviations are much more common in latent or intermittent form than are esodeviations. Of all the exotropia intermittent exotropia comprises about 50-90% of the cases and is usually preceded by a stage of exophoria (4,5). It usually affects about 1% of the general population.
Is intermittent exotropia serious?
It may also occur in association with a 3rd cranial nerve palsy or previous eye muscle surgery for strabismus. But, most often, childhood intermittent exotropia has no known cause so, if outward wandering of the eyes is suspected and persistent, your child should be evaluated by an ophthalmologist or orthoptist.
How long does exotropia surgery take?
The surgery can range from 45 minutes to 2 hours depending on the type of eye muscle surgery your child needs. Recovery from anesthesia may take several hours.
How long does it take to correct exotropia?
Exotropia—or an outward turning of the eyes—is a common type of strabismus accounting for up to 25 percent of all ocular misalignment in early childhood. Transient intermittent exotropia is sometimes seen in the first 4 – 6 weeks of life and, if mild, can resolve spontaneously by 6 – 8 weeks of age.
Can vision therapy cure intermittent exotropia?
Intermittent exotropia should be treated immediately, as any misalignment indicates that the eye-brain connection is not working effectively. The most successful treatment for strabismus is vision therapy, usually with other means such as eye patching, eyeglasses, and surgery.
Is intermittent exotropia curable?
In this retrospective study evaluating long-term outcomes in children with intermittent XT, surprisingly, we found a low cure rate with surgery, which was somewhat similar to the cure rate in conservatively managed patients (30 vs 12% P=0.1, difference 18%, 95% CI −1 to 37%).
Is exotropia surgery painful?
The duration of pain varies from a few hours to several days. There is surface irritation associated with the preparation and incision; and there is aching soreness, associated in particular with movement of the eyes. The former generally lasts up to 48 hours, and the latter typically up to one week.
Is strabismus surgery a major surgery?
Strabismus surgery (also: extraocular muscle surgery, eye muscle surgery, or eye alignment surgery) is surgery on the extraocular muscles to correct strabismus, the misalignment of the eyes….
| Strabismus surgery | |
|---|---|
| Specialty | ophthalmology |
Is intermittent exotropia a disability?
The service-connected post-operative congenital alternating strabismus (also called exotropia) is currently rated as 30 percent disabling under 38 C.F.R. § 4.84, Diagnostic Code 6090 for diplopia.
How is intermittent exotropia treated?
Treatment of intermittent exotropia
- Eye exercises – Used to help strengthen control of the eyes.
- Eyeglasses – Used to stimulate convergence (movement of the eyes toward the nose) by prescribing glasses that are too strong (called “over minus” lenses)
How long does it take for eyes to align after strabismus surgery?
Postoperative Strabismus/diplopia: It takes approximately 6 weeks for the eyes to heal and gain their full function; therefore a lot of eye alignment changes take place during this time. Must allow a full 6 weeks before the outcome of the surgery can be accurately assessed.
Can you have strabismus surgery twice?
But it doesn’t always come back. In fact, most patients require just one corrective surgery over a lifetime. If it does come back, it’s usually possible for a skilled specialist to again reposition the muscles and restore the benefits of straight eyes for the patient.
Is exotropia neurological?
Conclusion: Intermittent exotropia increasing with near fixation is associated with neurological disease in children.
What do your eyes look like after strabismus surgery?
The surface of your eye will likely appear bright red for a while after strabismus surgery. This redness is essentially a bruise. Since blood is closer to the surface of the eye, bruising is typically a brighter color.
What is the success rate for strabismus surgery?
Surgery for horizontal strabismus reportedly has a success rate of 60%–80%.