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مقاله
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Abstract
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Title:
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Overcorrecting minus lens therapy for treatment of intermittent exotropia
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Author(s):
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Ali Rezaei Shocooh
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Presentation Type:
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Oral
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Subject:
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Strabismus & Neuro-ophthalmology
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Others:
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Presenting Author:
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Name:
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Ali Rezaei shocooh
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Affiliation :(optional)
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Islamic Azad University, Tehran Medical Sciences Branch
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E mail:
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shoocooh@gmail.com
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Phone:
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22315949
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Mobile:
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09122965495
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Purpose:
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To evaluate the result of overcorrecting minus lens therapy for treatment of children with intermittent exotropia.
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Methods:
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Thirty five children (21 male and 14 female) with 10-35 prism (mean 22.5 ∆) intermittent exotropia and mean age of 11 years (4-17 years) were treated with overcorrecting 1.25-2.5 Diopters minus lens therapy. Treatment was instigated with the minimum minus lens required to achieve control of the manifest deviation.
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Results:
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Of these 35 children, 24 cases (68.5%) achieved a successful outcome and a quantitative decrease in their angle of deviation; and 10 cases (28.5%) had an inadequate improvement. The results were maintained for at least 1 year follow-up. In one child (about 3%) intermittent exotropia shifted to esotropia (high AC/A ratio) and treatment inevitably ceased.
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Conclusion:
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These data suggest that overminus therapy is a primary useful method to control intermittent exotropia, but initial refractive errors, age, treatment period and overcorrection magnitude should be considered.
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Attachment:
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