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Management of Exotropia Associated with Hyperopia in Children

Open Journal of Ophthalmology 2024年第4期14卷 405-411页

作者： Alassane Ba Aly Mbara Ka El Hadji Malick Sy Aïssatou Aw Jean Pierre Diagne Soda Mbaye Serigne Souhaibou Gaye Ousmane Ndiaga Senghor Hawo Madina Diallo Audrey Samra Papa Amadou Ndiaye Abass Ndao Hospital Dakar Senegal

Introduction: exotropia is a deviation outside the visual axes. In children, an association with ametropia is often observed, however, that with hyperopia is rare. The objective of this study was to highlight the particularities of the management of exotropia associated with hyperopia in children. Subjects and Methods: this was a retrospective study over 78 months including all children aged 0 to 15 years, treated for exotropia associated with hyperopia. Results: we found 20 cases of exotropia with hyperopia, or 57.15% of exotropia. The mean age was 4.3 years and the sex ratio was 0.82. Hyperopia was mild in 30 eyes (75%), moderate in 9 eyes (22.5%) and high in 2.5% of eyes. Over a one-year follow-up, 10 children (50%) had regular follow-up, including 6 with full hyperopic correction and 4 with partial hyperopic correction. After full hyperopic correction, one child had a resolution of his exotropia;2 had a decrease in the angle of deviation and 3 had no improvement of their exotropia. Among the 4 with partial hyperopic correction children, 2 had a resolution of their exotropia. Strabismus surgery was planned in 3 children after iso-acuity. Conclusion: the association of exotropia and hyperopia poses a management problem. The total correction or not of hyperopia is discussed according to several authors.

关键词： Exotropia Hyperopia spectacle correction

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