Dataset Information

Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study.

ABSTRACT:

Background

Exotropia control is deteriorated by post-strabismus surgery in many cases. Improving this control is considered as an important factor for success of the strabismus surgery like ocular motor alignment.

Objective

To determine the therapeutic effect of postoperative eye exercises on exodeviation eye control after the strabismus surgery.

Methods

Forty patients suffering from intermittent exotropia after strabismus surgery were randomly divided into experimental group and control groups. Both groups received the usual medical care, while the experimental group received different types of eye exercises using physiotherapy modalities in 24 sessions over three months (two sessions a week). The measurement of exotropia control for near target and far target using the office-based scale was done before and after the treatment.

Results

There was a significant improvement in near eye control post-treatment (0.45±0.61) in the experimental group compared with control group (3.65±0.88) as the mean difference was -3.20 and 95% CI of the difference between them was -3.645--2.755 with P<0.01. Also, far eye control improved post-treatment in the experimental group (0.75±0.64) compared with control group (4.00±0.86) with mean difference of -3.250 and 95% CI of the difference between them was -3.727--2.773 with P<0.01.

Conclusions

For patients with intermittent exotropia who had undergone strabismus surgery, the addition of physiotherapy exercises for the eye provided significant improvements in exotropia control for near target and far target.

SUBMITTER: Wahid ARA

PROVIDER: S-EPMC10949105 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study.

Wahid Amany R Abdel ARA Taher Sameh G SG Mohamed Ayah Mohmoud AM Atef Doaa D

Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao 20231222 2

<h4>Background</h4>Exotropia control is deteriorated by post-strabismus surgery in many cases. Improving this control is considered as an important factor for success of the strabismus surgery like ocular motor alignment.<h4>Objective</h4>To determine the therapeutic effect of postoperative eye exercises on exodeviation eye control after the strabismus surgery.<h4>Methods</h4>Forty patients suffering from intermittent exotropia after strabismus surgery were randomly divided into experimental gro ...[more]

PMID: 38510153

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Project description:BackgroundThe clinical management of intermittent exotropia has been discussed extensively in the literature, yet there remains a lack of clarity regarding indications for intervention, the most effective form of treatment and whether or not there is an optimal time in the evolution of the disease at which any treatment should be carried out.ObjectivesThe objective of this review was to analyse the effects of various surgical and non-surgical treatments in randomised trials of participants with intermittent exotropia, and to report intervention criteria and determine the significance of factors such as age with respect to outcome.Search methodsWe searched the Cochrane Central Register of Controlled Trials (CENTRAL) (which contains the Cochrane Eyes and Vision Group Trials Register) (The Cochrane Library, Issue 4, 2012), MEDLINE (January 1966 to May 2012), EMBASE (January 1980 to May 2012), Latin American and Caribbean Literature on Health Sciences (LILACS) (January 1982 to May 2012), the metaRegister of Controlled Trials (mRCT) (www.controlled-trials.com), ClinicalTrials.gov (www.clinicaltrials.gov) and the WHO International Clinical Trials Registry Platform (ICTRP) (www.who.int/ictrp/search/en). We did not use any date or language restrictions in the electronic searches for trials. We last searched the electronic databases on 4 May 2012. We are no longer searching the UK Clinical Trials Gateway (UKCTG) for this review. We manually searched the British Orthoptic Journal up to 2002, and the proceedings of the European Strabismological Association (ESA), International Strabismological Association (ISA) and American Academy of Paediatric Ophthalmology and Strabismus meeting (AAPOS) up to 2001. We contacted researchers who are active in the field for information about further published or unpublished studies.Selection criteriaWe included randomised controlled trials of any surgical or non-surgical treatment for intermittent exotropia.Data collection and analysisEach review author independently assessed study abstracts identified from the electronic and manual searches. Author analysis was then compared and full papers for appropriate studies were obtained.Main resultsWe found one randomised trial that was eligible for inclusion. This trial showed that unilateral surgery was more effective than bilateral surgery for correcting the basic type of intermittent exotropia.Authors' conclusionsThe available literature consists mainly of retrospective case reviews, which are difficult to reliably interpret and analyse. The one randomised trial included found unilateral surgery more effective than bilateral surgery for basic intermittent exotropia. However, across all identified studies, measures of severity and thus criteria for intervention are poorly validated, and there appear to be no reliable natural history data. There is therefore a pressing need for improved measures of severity, a better understanding of the natural history and carefully planned clinical trials of treatment to improve the evidence base for the management of this condition.

Dataset Information

Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study.

Background

Objective

Methods

Results

Conclusions

Publications

Physical therapy exercises for improving intermittent exotropia control post-strabismus surgery: A randomized controlled study.

Similar Datasets

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