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Evaluation of factors influencing distance stereoacuity on Frisby-Davis Distance Test (FD2) in intermittent exotropia.
MedLine Citation:
PMID:  20935306     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Aim To evaluate the factors affecting the restoration of stereoacuity after surgery in cases of intermittent exotropia. Methods Thirty consecutive patients of intermittent exotropia X (T) scheduled for surgical intervention underwent preoperative evaluation, including complete ophthalmic and orthoptic examination. Deviation was measured for near and distance. Near stereo acuity was measured by The Netherland Organization stereotest (TNO), and distance stereo acuity was measured using the Frisby-Davis Distance (FD2) stereotest at 6 m for all cases and age-matched controls. All cases of X (T) were followed postoperatively at 1 week, 1 month, 3 months and 6 months. Results Successful surgical alignment, defined as alignment within eight prism dioptres of exophoria, was seen in 84% of cases. The median distance stereo acuity improved from preoperative value of 50 s of arc to 17.5 s of arc, and near stereoacuity improved from 240 s of arc to 90 s of arc at 6 months postoperatively. The median distance and near stereo acuity in controls were 15 and 60 s of arc respectively. There was a significant difference in both distance and near stereoacuity between controls and cases, even after surgery. A high grade of preoperative stereoacuity was found to be a significant factor in determining the achievement of normal stereoacuity postoperatively. Age and amount of pre- and postoperative deviation were not found to have any affect. None of the above-mentioned factors had any influence on successful postoperative surgical correction. Conclusion There is a significant improvement in both near and distant stereoacuity postoperatively in X (T); however, the achievement of normal level depends upon the preoperative sensory status of the patient.
Authors:
Rohit Saxena; Ashish Kakkar; Vimla Menon; Pradeep Sharma; Swati Phuljhele
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Publication Detail:
Type:  Journal Article     Date:  2010-10-08
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  95     ISSN:  1468-2079     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1098-101     Citation Subset:  IM    
Affiliation:
Room no 485, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110029, India; rohitsaxena80@yahoo.com.
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