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intermittent_exotropia_control_score [2025/06/18 16:10] – Scott Larsonintermittent_exotropia_control_score [2025/06/18 18:26] (current) – Scott Larson
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 <wrap round box>Adapted from [[https://pubmed.ncbi.nlm.nih.gov/16950743/ |Mohoney BG. Holmes JM. An office-based scale for assessing control in intermittent exotropia. Strabismus 2006;14:147-150]]</wrap> <wrap round box>Adapted from [[https://pubmed.ncbi.nlm.nih.gov/16950743/ |Mohoney BG. Holmes JM. An office-based scale for assessing control in intermittent exotropia. Strabismus 2006;14:147-150]]</wrap>
  
-  * Observe the child for 30 seconds when fixating at distance object+  - Observe the child:  
 +    * for 30 seconds when fixating at distance object
     * if exotropia noted score will be 5, 4 or 3.       * if exotropia noted score will be 5, 4 or 3.  
     * Repeat observation with near fixation target for 30 seconds.       * Repeat observation with near fixation target for 30 seconds.  
-  * If no deviation noted above place occluder over right eye for 10 seconds then observe for 10 seconds, repeat by occluding the left eye with distance fixation.  +  - 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.      * Occlude for another 10 seconds the eye that took the longest to re-fuse and then observe. 
-    * Repeat with near fixation.  +    * Repeat the occlusion process with near fixation.  
-  * Record the worst level of control noted +  - 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. +  - 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. 
 + 
  
 |Scale Score | Description| |Scale Score | Description|
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 |1| No Exotropia unless dissociated, recovers in 1-5 seconds | |1| No Exotropia unless dissociated, recovers in 1-5 seconds |
 |0| No Exotropia unless dissociated, recovers in < 1 second (phoria) |  |0| No Exotropia unless dissociated, recovers in < 1 second (phoria) | 
 +
 +{{tag>strabismus tests}}