Awareness of Exodeviation in Children with Intermittent Exotropia
- 17 September 2009
- journal article
- research article
- Published by Taylor & Francis Ltd in Strabismus
- Vol. 17 (3), 101-106
- https://doi.org/10.1080/09273970903107972
Abstract
Purpose: To describe how children with intermittent exotropia (IXT) are aware of their exodeviation. Methods: Twenty-four children with IXT, aged 5 to 17 years, median 10.5 years, were recruited. Individual interviews with the children were audiotaped and transcribed. Interviews were based on 10 open-ended questions and discussion was encouraged. Transcripts were reviewed to identify phrases describing the child’s awareness of the exodeviation as distinct from phrases describing the way intermittent exotropia affects their quality of life. Phrases were reviewed to identify specific topic areas and the type and frequency of topics were analyzed. Results: Nineteen (79%) of 24 children expressed awareness of the exodeviation. One hundred twenty phrases were extracted and 18 topic areas identified. The most frequently mentioned topics were comments from others (15 [63%] of 24), general awareness of deviation (10 [42%] of 24), ocular sensation (10 [42%] of 24), and correction of exodeviation by blinking (7 [29%] of 24). Conclusions: In our study, most patients with IXT were aware of their eye condition, but patient experience varied. In individual interviews, children described awareness of their eye condition mainly due to comments from others. Awareness of ability to correct the exodeviation by blinking was common and may be related to mechanisms used to control IXT.This publication has 20 references indexed in Scilit:
- Quality of Life in Intermittent ExotropiaJAMA Ophthalmology, 2008
- Variability of Control in Intermittent ExotropiaOphthalmology, 2008
- An Office-Based Scale for Assessing Control in Intermittent ExotropiaStrabismus, 2006
- Thin is good, fat is bad: How early does it begin?Journal of Applied Developmental Psychology, 1998
- Binocularity and Photophobia in Intermittent ExotropiaPerceptual and Motor Skills, 1992
- Monocular Eye Closure in Intermittent ExotropiaAmerican Journal of Ophthalmology, 1988
- Blink Vergence in an Antimetropic PatientOptometry and Vision Science, 1986
- Panoramic Viewing, Visual Acuity of the Deviating Eye, and Anomalous Retinal Correspondence in the Intermittent Exotrope of the Divergence Excess TypeOptometry and Vision Science, 1979
- THE ASSOCIATION OF BLINKS AND REFUSION IN INTERMITTENT EXOTROPIAOptometry and Vision Science, 1968
- INVOLUNTARY MOVEMENTS OF THE EYE DURING FIXATION AND BLINKINGBritish Journal of Ophthalmology, 1959