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Near exotropia

MedGen UID:
676684
•Concept ID:
C0730506
•
Disease or Syndrome
SNOMED CT: Near exotropia (313159001)
 
HPO: HP:0031715

Definition

An intermittent exotropia where there is binocular single vision on distance fixation and exotropia at near (intermittent or constant). [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVNear exotropia

Professional guidelines

PubMed

Creating consistency in the diagnosis of convergence insufficiency: screening methods.
Lavrich JB, Hamburger JL, Lee KE, Thuma TBT, Omega ML, Zhang QE, Gunton KB
J AAPOS 2023 Dec;27(6):346.e1-346.e6. Epub 2023 Nov 4 doi: 10.1016/j.jaapos.2023.08.019. PMID: 37931838
Office-based Vergence and Accommodative Therapy for the Treatment of Intermittent Exotropia: A Pilot Study.
Ma MM, Kang Y, Scheiman M, Chen X
Optom Vis Sci 2019 Dec;96(12):925-933. doi: 10.1097/OPX.0000000000001454. PMID: 31834152
Treatment of Intermittent Exotropia of the Convergence Insufficiency Type with Bupivacaine 0.75%: 5-Year Experience and Outcomes.
Josephson M, Mathias SA
J Binocul Vis Ocul Motil 2019 Jan-Mar;69(1):3-7. Epub 2019 Jan 7 doi: 10.1080/2576117X.2018.1554930. PMID: 30615567

Recent clinical studies

Etiology

Are binocular alignment and convergence amplitude different between phakic and pseudophakic older patients?
Hashemi H, Khabazkhoob M, Asharlous A, Hashemi A
Strabismus 2022 Dec;30(4):190-195. Epub 2022 Oct 14 doi: 10.1080/09273972.2022.2134432. PMID: 36239198
Relationship Between the Clinical Factors and Deviation Control in Intermittent Exotropia.
Gökgöz Özişik G, Gokgoz G, Caglar C, Cakmak HB
J Pediatr Ophthalmol Strabismus 2022 Jan-Feb;59(1):53-59. Epub 2021 Sep 30 doi: 10.3928/01913913-20210723-01. PMID: 34592868
Binocular vision disorders in a geriatric population.
Hashemi H, Nabovati P, Yekta AA, Agha Mirsalim M, Rafati S, Ostadimoghaddam H, Khabazkhoob M
Clin Exp Optom 2022 Jul;105(5):539-545. Epub 2021 May 20 doi: 10.1080/08164622.2021.1922065. PMID: 34016028
Relationship among clinical factors in childhood intermittent exotropia.
Superstein R, Dean TW, Holmes JM, Chandler DL, Cotter SA, Wallace DK, Melia BM, Kraker RT, Weaver RG, Mohney BG, Donahue SP, Birch EE; Pediatric Eye Disease Investigator Group
J AAPOS 2017 Aug;21(4):268-273. Epub 2017 Jun 28 doi: 10.1016/j.jaapos.2017.04.005. PMID: 28666772Free PMC Article
Diagnostic occlusion test in intermittent exotropia.
Gürlü VP, Erda N
J AAPOS 2008 Oct;12(5):504-6. doi: 10.1016/j.jaapos.2008.02.013. PMID: 18929306

Diagnosis

Are binocular alignment and convergence amplitude different between phakic and pseudophakic older patients?
Hashemi H, Khabazkhoob M, Asharlous A, Hashemi A
Strabismus 2022 Dec;30(4):190-195. Epub 2022 Oct 14 doi: 10.1080/09273972.2022.2134432. PMID: 36239198
Relationship Between the Clinical Factors and Deviation Control in Intermittent Exotropia.
Gökgöz Özişik G, Gokgoz G, Caglar C, Cakmak HB
J Pediatr Ophthalmol Strabismus 2022 Jan-Feb;59(1):53-59. Epub 2021 Sep 30 doi: 10.3928/01913913-20210723-01. PMID: 34592868
Binocular vision disorders in a geriatric population.
Hashemi H, Nabovati P, Yekta AA, Agha Mirsalim M, Rafati S, Ostadimoghaddam H, Khabazkhoob M
Clin Exp Optom 2022 Jul;105(5):539-545. Epub 2021 May 20 doi: 10.1080/08164622.2021.1922065. PMID: 34016028
Relationship among clinical factors in childhood intermittent exotropia.
Superstein R, Dean TW, Holmes JM, Chandler DL, Cotter SA, Wallace DK, Melia BM, Kraker RT, Weaver RG, Mohney BG, Donahue SP, Birch EE; Pediatric Eye Disease Investigator Group
J AAPOS 2017 Aug;21(4):268-273. Epub 2017 Jun 28 doi: 10.1016/j.jaapos.2017.04.005. PMID: 28666772Free PMC Article
Diagnostic occlusion test in intermittent exotropia.
Gürlü VP, Erda N
J AAPOS 2008 Oct;12(5):504-6. doi: 10.1016/j.jaapos.2008.02.013. PMID: 18929306

Therapy

Binocular vision disorders in a geriatric population.
Hashemi H, Nabovati P, Yekta AA, Agha Mirsalim M, Rafati S, Ostadimoghaddam H, Khabazkhoob M
Clin Exp Optom 2022 Jul;105(5):539-545. Epub 2021 May 20 doi: 10.1080/08164622.2021.1922065. PMID: 34016028
Relationship among clinical factors in childhood intermittent exotropia.
Superstein R, Dean TW, Holmes JM, Chandler DL, Cotter SA, Wallace DK, Melia BM, Kraker RT, Weaver RG, Mohney BG, Donahue SP, Birch EE; Pediatric Eye Disease Investigator Group
J AAPOS 2017 Aug;21(4):268-273. Epub 2017 Jun 28 doi: 10.1016/j.jaapos.2017.04.005. PMID: 28666772Free PMC Article

Prognosis

Medial Rectus Inferior Half Plication for the Treatment of Near Exotropia.
Weatherby T, Marsh I
J Pediatr Ophthalmol Strabismus 2024 May-Jun;61(3):219-222. Epub 2024 Jan 26 doi: 10.3928/01913913-20231221-01. PMID: 38275204
Relationship Between the Clinical Factors and Deviation Control in Intermittent Exotropia.
Gökgöz Özişik G, Gokgoz G, Caglar C, Cakmak HB
J Pediatr Ophthalmol Strabismus 2022 Jan-Feb;59(1):53-59. Epub 2021 Sep 30 doi: 10.3928/01913913-20210723-01. PMID: 34592868

Clinical prediction guides

Relationship Between the Clinical Factors and Deviation Control in Intermittent Exotropia.
Gökgöz Özişik G, Gokgoz G, Caglar C, Cakmak HB
J Pediatr Ophthalmol Strabismus 2022 Jan-Feb;59(1):53-59. Epub 2021 Sep 30 doi: 10.3928/01913913-20210723-01. PMID: 34592868
A retrospective review of 287 consecutive children in singapore presenting with intermittent exotropia.
Chia A, Seenyen L, Long QB
J AAPOS 2005 Jun;9(3):257-63. doi: 10.1016/j.jaapos.2005.01.007. PMID: 15956946

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