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| intermittent_exotropia_control_score [2025/06/18 16:03] – created Scott Larson | intermittent_exotropia_control_score [2025/06/18 18:26] (current) – Scott Larson | ||
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| ====== Intermittent Exotropia Office Control Score ====== | ====== Intermittent Exotropia Office Control Score ====== | ||
| - | <wrap round box> | + | <wrap round box> |
| + | |||
| + | - Observe the child: | ||
| + | * for 30 seconds when fixating at distance object | ||
| + | * if exotropia noted score will be 5, 4 or 3. | ||
| + | * Repeat observation with near fixation target for 30 seconds. | ||
| + | - If no deviation noted after observation: | ||
| + | * Place occluder over right eye for 10 seconds then observe for exotropia counting the seconds until recovery, repeat by occluding the left eye with distance fixation. | ||
| + | * Occlude for another 10 seconds the eye that took the longest to re-fuse and then observe. | ||
| + | * Repeat the occlusion process with near fixation. | ||
| + | - Record the worst level of control noted for distance and near fixation | ||
| + | - This test should be done before any dissociation or patching or at least 10 minutes after any dissociation. | ||
| + | - If the patient has a micro-esotropia by simultaneous prism and cover test, but exodeviation by alternate cover test, the scale applies to the exodeviation. | ||
| - | * Observe the child for 30 seconds when fixating at distance and then again when fixing at near object | ||
| - | * If no deviation noted place occluder over right eye for 10 seconds, repeat by occluding the left eye with distance fixation. | ||
| - | * Occlude for another 10 seconds the eye that took the longest to re-fuse. | ||
| - | * Repeat with near fixation. | ||
| - | * Record the worst level of control noted | ||
| - | * This test should be done before any dissociation or patching or at least 10 minutes after any dissociation. | ||
| |Scale Score | Description| | |Scale Score | Description| | ||
| Line 14: | Line 21: | ||
| |4| Exotropia >50% of the 30 second observation | | |4| Exotropia >50% of the 30 second observation | | ||
| |3| Exotropia <50% of the 30 second observation | | |3| Exotropia <50% of the 30 second observation | | ||
| - | |2| No Exotropia unless dissociated and recovers | + | |2| No Exotropia unless dissociated and recovers |
| - | |1| No Exotropia unless dissociated, | + | |1| No Exotropia unless dissociated, |
| + | |0| No Exotropia unless dissociated, | ||
| + | |||
| + | {{tag> | ||