FAQ - exotropia
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Do you have any experience with exotropia/strabismus in small children?

I know it's a long shot, but I just wanted to see if anyone had dealt with this, particularly the issue of correcting exotropia with surgery. Thanks!

I just posted a question wanting to know if anyone is having eye muscle surgery, My daughter is 11 years old and getting it done Friday, we have battled her eyes since she was a baby, she's had vision therapy that didn't help and glasses off and on. I got the where I was pulling my hair out seems like every Dr. we went to had a different theory, when my daughter didn't think there was any problem at all. She says she can see fine. But after all the battle I finally come to the determination that she has seen that way her whole life, she knows no difference, what's happening is the eyes don't work together, the muscles are fine but the brain doesn't send the correct signals to the muscles. She is almost always just using one eye to see, depending her angle one eye shuts off, this is not voluntary by my daughter it just happens. So she's not getting her full range of vi son, they are telling me that also by having this problem her depth perception is misleading which may explain why she's a bit uncoordinated. They told me it is best to have this surgery at a young age because the muscles are still developing, but this Friday we are having it done, yes I'm worried they always have that very small chance of something going wrong. Anyways, this is our story! I would suggest if it's a younger child try therapy first before surgery. Good Luck. email me anytime if you want to know how it went.  (+ info)

My 4yr olds fifth eye surgery coming soon for exotropia. How many is to many? Is vision therapy a option still?

I like his surgeon, highly recommended. I just don't know how many more surgeries to put him through. I feel he needs them for his eyes to align but I am getting more discouraged with each surgery. I'm not sure now how effective vision therapy will be since we've already done surgeries. Any advise/suggestions is appreciated.

Only the doctor that has been treating your son can responsibly answer your questions. None of us in here knows his history or the extent of his anomoly or what has been done to correct it. It is not uncommon for there to be several surgeries as kids grow. But, really, you need to ask your doctor and then you also might want to consult someone as a second opinion. Most good doctors welcome this and do not take it as an insult at all.  (+ info)

Is either intermittent exotropia or ocular motor dysfunction a disability, and should insurance cover it?

I was diagnosed with intermittent exotropia (ICD-9: 378.15) and ocular motor dysfunction (ICD-9: 794.14) in November 2006, and I am curious if either of these are classifiable as a disability. I have a very difficult time reading, and at the collegiate level, I can't afford to have hindrances like this. I need to have it treated, and I don't know of any insurance companies that will cover it. It would be fantastic to be able to read and understand text like others do. I know that there is a place called Hope Clinic in my area that treats it, but it is well outside of my means to fund. Unfortunately Blue Cross claims that their treatment (CPT 92065) is experimental and will not fund it. I don't know if their methods are reputable or not, and I don't know if Blue Cross is just trying to get out of paying for it. However, I just need to know if there is a method that corrects it and is covered. Plus if it is a disability, I need to know for scholarships, for those I couldn't have.

The surgical success rate in treating intermittent exotropia is difficult to discern from the literature. Reports in the literature are plagued by the variable nature of the disease, a lack of standardized success/failure criteria and study bias depending on the type of intervention preferred by the authors. It is therefore not surprising that rates of success vary widely in the literature, ranging from 40 - 92%. Most authors define surgical success as a small residual exotropia (less than 10 prism diopters) or an exophoria/esophoria only. The goal for an adult with exotropia should be viewed somewhat differently. In these patients a persistent consecutive esotropia may cause intractable diplopia. Further surgery may be required to place the patient back into his/her original suppression scotoma. However, a small residual exodeviation will usually provide complete relief of symptoms as well as an improvement in appearance. An undercorrection, therefore, is much preferable to an overcorrection in this instance.
The treatment of most ocular motor dysfunctions requires orthoptics/vision therapy. However, the therapy regimen may be augmented by the use of therapeutic lenses or prisms. Optometric vision therapy usually incorporates the prescription of specific treatments in order to:Develop accurate fixational skills. Develop accurate ocular pursuits and saccades. Integrate ocular motor skills with accurate motor response. Integrate ocular motor skills with other sensory skills (vestibular, kinesthetic, tactile, auditory). Integrate ocular motor skills with vergence and accommodative systems. Integrate ocular motor skills with information processing.
With regard to both conditions, they come under the umbrella of Disorders. Obviously they are a disability but whether the insurance companies classify them as a disability is a matter for the law and I am not able to discuss law here.

I add this link which discusses strabismus.


For further information on this subject, you would be advised to consult your doctor or ophthalmic specialist.
Hope this helps
Matador 89  (+ info)

Is there a difference between intermittent exotropia and exophoria?

Technically, exotropia is never intermittent. It is a permanent outward deviation of one or both eyes. A "tropia" is a permanent condition that is correctable only with surgical treatment.

Exophoria is an "intermittent" deviation of one or both eyes. In a phoria, the eyes have a tendency to deviate, but are able to aim "straight." Lenses with "prism" may be needed to compensate, but many people have extraocular muscles that are strong enough to pull the eye(s) inward. the exophoria may never be visible to others, and it may be visible only when the eyes are fatigued  (+ info)

is there any relation between microtia and exotropia? does my child have exotropia?

my 4y old child have microtia in his left ear and the doctor say that he have exotropia. are they related? exotropia only or mainly shows when he talks to somebody, he looks up to the sky as if he is day dreaming with diviation in his eye, and exactly after that when he lea-sen he look very much normal

They are not related in that microtia is a congenital ear deformity and exotropia means that one eye is turning out in relation to the other.  (+ info)

Is there a link between stuttering, exotropia, nervous stomach and being slim?

As in medical link

  (+ info)

I really would like to know about Exotropia? I would like for a doctor to help me?

Is there anything i can do at home to change it? Do i have to go to a doctor to get it fix? can so one please help me if they know how.
I'm 20 and having this probably. do u know how much it would cost?

How is exotropia treated?
A comprehensive eye examination including an ocular motility (eye movement) evaluation and an evaluation of the internal ocular structures will allow an eye doctor to accurately diagnose the exotropia. 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.

The most reliable treatment for exotropia is usually eye muscle surgery, but this is often preceded by eye patching and/or eyeglass therapy, especially if amblyopia (lazy eye) is present. This therapy is designed to maximize the existing vision in the weaker eye. In some children, this therapy may eliminate the need for surgery. There is a rare form of exotropia known as "convergence insufficiency" that responds well to therapy. This disorder is characterized by an inability of the eyes to work together when used for near viewing, such as reading. Instead of the eyes focusing together on the near object, one deviates outward.

Surgery is usually recommended if the exotropia is present for more than half of each day or if the frequency is increasing over time. Surgery is also indicated if a child has significant exotropia when reading or viewing near objects or if there is evidence that the eyes are losing their ability to work as a single unit (binocular vision). If none of these criteria are met, surgery may be postponed pending simple observation with or without some form of eyeglass and/or patching therapy. In very mild cases, there is a small chance that the exotropia will diminish with time.

The surgical procedure for the correction of exotropia involves making a small incision in the tissue covering the eye in order to reach the eye muscles. The appropriate muscles are then repositioned in order to allow the eye to move properly. The procedure is usually done under general anesthesia. Recovery time is rapid, and most people are able to resume normal activities within a few days. Following surgery, corrective eyeglasses may be needed and, in many cases, further surgery is required later to keep the eyes straight.  (+ info)

my child who is now two years and nine months is having exotropia if he undergoes surgery at this age whether?

my child who is two and nine months old is having exotropia if he undergoes surgery at this age is it possible to overcome the disorder and have a permanent relief out ot this disorder

Only your Ophthalmologist can tell you that. . This is a form of Strabismus, where instead of being crossed the eyes point outward. It is the opposite of Esotropia. (crossed eyes)
Sometimes it is worse when the child is tired or feeling unwell.The Ophthalmologist will determine if the child has it more than 50% of the day. Or if it is getting worse.
Also a determining factor is what the child sees up close, whether it affect his depth perception. My late husband had Amblyopia which is a form of strabismus, and his family was too poor for the surgery and only one of his eyes pointed outward, he lost the sight in that eye. If your child is a good candidate for the surgery, and the doctor suggests it I would certainly have it done.  (+ info)

Is it easy for eye muscle surgery to fix intermittent exotropia (lazy eye/strabismus)?

My doctor says eye exercises won't work at my age and that surgery is the best route for me. If it makes any difference, I have normal 20/20 vision in both eyes. One eye will drift out when looking at near objects and when focusing on objects in the distance.
I wanted to add that will send me a message who has had the same thing as me, I would love that so much. :o)

it can and can't work. it really depends on how your muscles respond. i have had 3 surgeries to correct this, at first i had 20/20 but i've developed terrible sight. i'm not convinced it was because of the surgeries or anything but if you have perfect sight and the lazy eye doesn't bother you to much then i wouldn't do it because it's not worth the risk of affecting your sight. you don't realize how good you have it until you can't see.. but esthetically i realize that it helps tons so if your doing it for that sole reason then i would go ahead and do it if you really want to. hope everything works out.  (+ info)

My have intermittent exotropia can anyone answer this?

I have always been very sensitive to bright lights in my right eye and my fiancee has been noticing that my right eye will drift off to one side on occasion. Recently, at work I have noticed that I can feel it drifting to one side and it keepts getting more and more frequent and difficult to get back to its normal state. I was just wondering if anyone knows if glasses will relieve the symptoms of exotropia?

Since I am a university student I do ALOT of reading and I am finding it increasingly difficult to read without loosing my line. Do you think my eye doctor would give me glasses to help with this problem?

Yes, there are often ways glasses can help with this, depending on the exact nature of the problem. It's going to take an examination to assess this.

If the eye is drifting visibly to other people, but you do not notice double vision, you are good at suppressing the image from the wandering eye, and may have a touch of amblyopia there too.
That's not dreadful.
If there is a residual refractive error, correcting that may be enough to increase binocular stability, or an Rx with prisms may be indicated.

In some instances eye exercises can also be of benefit to the two eyes' coordination. If the eyes are giving binocular vison *sometimes* this can often be improved.

Optometrist, retired.  (+ info)

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