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Alternating Exotropia


Presentation

  • Subjects were instructed to make saccades between two continuously lit targets (LED's) presented in an isovergence array (with the straight-ahead target 130 cm from the eyes) in a dimly lit room.[ncbi.nlm.nih.gov]
  • Nystagmus - fast, uncontrollable movements of the eyes, sometimes called "dancing eyes" Some eye movement disorders are present at birth. Others develop over time and may be associated with other problems, such as injuries.[icdlist.com]
  • The condition can be constantly present, or occur intermittently, and can give the affected individual a "cross-eyed" appearance.[icd.codes]
  • Typical Childhood Exotropia Phase 3 • XT constant at distance and near • Noticeable • Usually no diplopia present • Amblyopia may be present 27.[slideshare.net]
  • Treatment Eye muscle surgery to improve ocular alignment is generally recommended if one or more of the following criteria are present: If the exotropia is present for more than 50% of each day.[pedseye.com]
Movement Disorder
  • Eye Movement Disorders When you look at an object, you're using several muscles to move both eyes to focus on it. If you have a problem with the muscles, the eyes don't work properly. There are many kinds of eye movement disorders.[icdlist.com]
  • These include: eye problems caused by thyroid disease horizontal eye movement disorders (Duane syndrome) hydrocephalus (excess fluid on the brain) poor vision stroke Treatment measures for this type of eye condition depend on the severity, as well as[healthline.com]
  • Wick Clinical Management of Binocular Vision: Heterophoric Accommodative and Eye Movement Disorders Lippincott Williams a Wilkins, (2008) [3.] M. Rosenfield, N. Logan Optometry: Science, Techniques and Clinical Management [4.] J.W. Bruce, D.[journalofoptometry.org]
  • Archer SM, Helveston EM: Strabismus and Eye Movement Disorders. In Isenberg SJ (ed) The eye in Infancy 1994 Mosby, pg 255. Govindan M, Mohney BG, Diehl NN, Burke JP. Incidence and types of childhood exotropia: a population-based study.[webeye.ophth.uiowa.edu]
Falling
  • Pardon my putting this is capital letters but YOU NEED TO UNDERSTAND A FALL WILL NEVER CAUSE MULTIPLE SCLEROSIS.[medhelp.org]
  • Within two weeks, the sutures will dissolve or fall out on their own, and the eyes will gradually return to their normal appearance.[affleckeyecare.com]
Myopathy
  • Mechanical: Mechanical exotropia is caused by a restriction or tightness of the muscles controlling the eye (fibrosis of muscle tissue, thyroid myopathy) or a physical obstruction of the extraocular muscles (orbital fracture).[eyehealthweb.com]
Esotropia
  • H50 Other strabismus H50.0 Esotropia Inclusion term(s): Convergent concomitant strabismus H50.00 Unspecified esotropia H50.01 Monocular esotropia H50.011 Monocular esotropia, right eye H50.012 Monocular esotropia, left eye H50.02 Monocular esotropia with[icd10coded.com]
  • 378.00 Esotropia, unspecified 378.01 Monocular esotropia 378.02 Monocular esotropia with A pattern 378.03 Monocular esotropia with V pattern 378.04 Monocular esotropia with other noncomitancies 378.05 Alternating esotropia 378.06 Alternating esotropia[healthprovidersdata.com]
  • Treatment options for esotropia include glasses to correct refractive errors (see accommodative esotropia below), the use of prisms and/or orthoptic exercises and/or eye muscle surgery.[icd.codes]
  • […] in esotropia H50.50 Unspecified heterophoria Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.[icd10data.com]
  • Less familiar visual impairments include: strabismus, where the eyes look in different directions and do not focus simultaneously on a single point…” (2) Strabismus (Esotropia and Exotropia) is just one of many Binocular Vision impairments.[leavingflatland.wordpress.com]
Mononeuropathy
  • Cranial mononeuropathy III (Medical Encyclopedia) Cranial mononeuropathy VI (Medical Encyclopedia) Eye muscle repair (Medical Encyclopedia) Nystagmus (Medical Encyclopedia) Strabismus (Medical Encyclopedia) Supranuclear ophthalmoplegia (Medical Encyclopedia[icdlist.com]
Meningism
  • 06-22-2017, 02:04 PM #1 OptiBoard Novice Hello, I have Strabismus secondary to childhood Meningitis. I have an alternating Exotropia. I have been wearing PALs for some time now and need a new RX.[optiboard.com]

Treatment

  • 1 Treatment of Intermittent Exotropia of the Convergence Insufficiency Type with Bupivacaine 0.75%: 5-Year Experience and Outcomes. ( 30615567 ) 2019 2 Evaluation of dynamic stereopsis in intermittent exotropia patients. ( 30662845 ) Zhong J...Yu MB 2019[malacards.org]
  • Treatments include glasses, patches, eye muscle exercises, and surgery. There is no cure for some kinds of eye movement disorders, such as most kinds of nystagmus.[icdlist.com]
  • الصفحة 68 - High- and low-risk profiles for the development of multiple sclerosis within 10 years after optic neuritis: experience of the optic neuritis treatment trial. Arch Ophthalmol. ‏[books.google.com]
  • Treatment options for esotropia include glasses to correct refractive errors (see accommodative esotropia below), the use of prisms and/or orthoptic exercises and/or eye muscle surgery.[icd.codes]

Prognosis

  • The younger a child is, the better the prognosis. Strabismus is never "outgrown" and vision may be permanently lost if strabismus is left untreated.[tsbvi.edu]
  • Prognosis Early identification and treatment of an amblyopic eye is very important. After the age of nine, the poor vision in that eye will probably remain for life.[affleckeyecare.com]
  • Prognosis The outcome of treatment is dependent on many factors, such as the type of strabismus, age of onset, and visual acuity of each eye. It often involves years of commitment and care.[triadpublishing.com]
  • These results make her an excellent candidate for vision therapy with a very good prognosis. With continued contact lens wear and compliance to a vision therapy program, it is possible to maintain ocular alignment and increase binocular function.[clspectrum.com]
  • […] x 2 : # 5 of 7 Old 09-03-2008, 01:15 PM Join Date: Sep 2006 Posts: 2,062 Mentioned: 0 Post(s) Tagged: 0 Thread(s) Quoted: 0 Post(s) Intermittent is better than a permanent/persistant exotropia and if it is alternating, that is even better as far as prognosis[mothering.com]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Genetics and Risk factors Although heredity appears to play a role in exodeviations, the etiology of this disorder is probably multifactorial. A positive family history is often noticed (18).[webeye.ophth.uiowa.edu]

Epidemiology

  • Orefice Epidemiology study anisometropia in students of Natal, Brasil Arq Bras Oftalmol, 68 (2005), pp. 1-4 [21.] B.L. Quah, M.T. Tay, S.J. Chew, L.K.[journalofoptometry.org]
Sex distribution
Age distribution

Pathophysiology

  • In some cases, this syndrome was accompanied by convergence impairment; however, the pathophysiologic mechanism has not yet been elucidated.[omicsonline.org]
  • Pathophysiology of exodeviation. In: symposium on horizontal ocular deviation. St. Louis, Ed. Manley DR. 1971 Mosby-Year Book, Inc., pg 119 Costenbader FD. The physiology and management of divergent strabismus.[webeye.ophth.uiowa.edu]

Prevention

  • Any preventive measures? I'm glad you finally have a diagnosis, I'm sorry it is MS. Pardon my putting this is capital letters but YOU NEED TO UNDERSTAND A FALL WILL NEVER CAUSE MULTIPLE SCLEROSIS.[medhelp.org]
  • Esotropia (crossed eyes) needs to be treated early in life to prevent amblyopia.[allaboutvision.com]
  • Early diagnosis and occlusion are the best first steps in preventing amblyopia.[tsbvi.edu]
  • This form of strabismus is preventable and can be treated easily with corrective prescription eyeglasses.[eyehealthweb.com]

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