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Background And Aims: Refractive errors and intermittent exotropia are prevalent conditions in pediatric populations, impacting visual development and quality of life. Despite the co-occurrence of conditions such as myopia, hypermetropia, and astigmatism with strabismus, comprehensive analyses of their coexistence are limited. This study aims to investigate the prevalence and characteristics of refractive error among children with intermittent exotropia and find the correlation between the angle of deviation for far and near with factors like mean spherical equivalent and age.

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Non-surgical therapy for intermittent exotropia: a systematic review and network analysis.

BMC Ophthalmol

December 2024

Department of Ophthalmology, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Gulou District, Nanjing, 210008, Jiangsu Province, China.

Objective: This study aimed to conduct a network meta-analysis to evaluate the efficacy of various non-surgical treatments for intermittent exotropia(IXT).

Methods: A comprehensive search of the PubMed, EMbase, and Cochrane Library databases was performed to identify relevant randomized controlled trials (RCTs) up to June 2024. Following independent screening, data extraction, and bias assessment by two researchers, network meta-analysis was conducted using R 4.

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Effect of Monofocal, Wavefront-Shaped, and Diffractive Trifocal Intraocular Lenses on Scanning-Slit Automated Refraction.

Am J Ophthalmol

January 2025

From the Department of Ophthalmology and Visual Sciences, University of Toronto (L.G., S.A., C.C.C., D.S.R.), Toronto, Ontario, Canada; TLC Laser Centres (C.C.C., D.S.R.), Toronto, Ontario, Canada.

Purpose: To compare scanning-slit retinoscopy automated refraction spherical equivalent (ARSE) to subjective manifest refraction spherical equivalent (MRSE) in normal eyes with four different types of intraocular lenses (IOLs).

Design: Retrospective cross-sectional study.

Methods: A total of 279 pseudophakic eyes that underwent lens extraction at a private center with implantation of either a wavefront shaped IOL (Acrysof® Vivity, DFT015), a nonapodized diffractive trifocal IOL (Acrysof® Panoptix), or a monofocal IOL with negative spherical aberration (Tecnis ZCBOO) or aberration-free (Envista Mx60E).

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Introduction: Currently, there is no consensus regarding the management of intermittent exotropia (IXT), which includes both surgical and non-surgical treatment options. Nonsurgical management of IXT has been suggested and includes watchful observation, patching, overminus lenses, prism, and vision therapy/orthoptics. While a significant portion of IXT patients are treated by surgery, it is reported that there is a substantial tendency for reoperation or recurrence of IXT.

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Importance: Increased myopic shift was found to be associated with 1 year of overminus spectacle treatment for children with intermittent exotropia (IXT). Persistence of myopic shift after discontinuing overminus spectacles is unknown.

Objective: To compare refractive error change over 3 years in children with IXT originally treated with overminus vs nonoverminus spectacles.

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