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Although glasses and/or patching therapy, exercises, or prisms may reduce or help control the outward-turning eye in some children, surgery is often required. A common form of exotropia is known as " convergence insufficiency " that responds well to orthoptic vision therapy including exercises.
In the first example, it has been noted that when conducting the PCT, this patient wore correction, was fixing left and has a twelve prism dioptre exotropia in the distance. At near they have a larger exotropic deviation measuring 18 prism dioptres. They also have a right hypertropia of six prism dioptres. This means that when the PCT was ...
Exotropia In a patient with an unsuppressed exotropia , the patient will see two lights with one line through each light. The line corresponding to the right eye will be on the left side of the results, meaning the images are crossed.
Prism correction is measured in prism dioptres. A prescription that specifies prism correction will also specify the "base". The base is the thickest part of the lens and is opposite from the apex. Light will be bent towards the base and the image will be shifted towards the apex.
Esotropias measuring more than 15 prism diopters (PD) and exotropias more than 20 PD that have not responded to refractive correction can be considered candidates for surgery. Techniques Disinserting the medial rectus muscle. The goal of strabismus surgery is to correct misalignment of the eyes.
Incomitant strabismus cannot be fully corrected by prism glasses, because the eyes would require different degrees of prismatic correction dependent on the direction of the gaze. Incomitant strabismus of the eso- or exo-type are classified as "alphabet patterns": they are denoted as A- or V- or more rarely λ -, Y- or X-pattern depending on the ...