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Br J Ophthalmol 85:238 doi:10.1136/bjo.85.2.238e
  • Letter to the Editor

Spontaneous consecutive exotropia in children with motor fusion

Table 1

Data from five patients who spontaneously developed consecutive exotropia

Patient 1 2 3 4 5
At presentation:
 Age (years) 1 1/2 3 3/4 1 3/4 2 1/2 3
Acuity
 Right <6/60 6/12 6/18 6/12 6/18
 Left 6/12 2/60 <6/60 6/60 2/60
Deviation (prism dioptres)
 Near 30 ET 15 ET 35 ET 35 ET 50 ET
 Distance NA 20 ET NA NA NA
Refraction: spherical equivalent (dioptres)
 Right 8.25 8.75 4.75 4 7
 Left 5.75 10.75 5.5 4.75 7.5
Stereoacuity Negative Negative Negative Negative Negative
Motor fusion: able to overcome 20 dioptre base out prism Yes Yes Yes Yes Yes
Prior to exodeviation:
Acuity
 Right 6/12 6/6 6/12 6/6 6/9
 Left 6/6 6/9 6/12 6/6 6/12
Refraction: spherical equivalent (dioptres)
 Right 7 8.75 5.75 4.5 8.5
 Left 6 9.5 6 5.25 9
Deviation with glasses (prism dioptres)
 Near 16 ET 4 ET 0 4 ET 6 ET
 Distance 16 ET 6 ET 0 0 4 ET
Onset of exotropia:
Age (years) 4 5 1/4 3 4 6
Acuity
 Right 6/12 6/6 6/12 6/6 6/5
 Left 6/6 6/9 6/12 6/6 6/9
Refraction: spherical equivalent (dioptres)
 Right 7 8.75 5.75 4.5 8.5
 Left 6.25 9.5 6 5.25 9
Deviation with glasses (prism dioptres)
 Near 8 EX 2 EX 16 EX 10 EX 2 EX
 Distance 4 EX 18 EX 18 EX 14 EX 20 EX
Treatment:
Size of reduction in lens power (dioptres) 0.5 1 1 1.5 1.5
Outcome: MicroEX MicroET MicroEX MicroET MicroEX
  • ET = esotropia; EX = exotropia; NA = no data available.

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