Management of Exotropia Associated with Hyperopia in Children  

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 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)

机构地区：[1]Abass Ndao Hospital, Dakar, Senegal

出　　处：《Open Journal of Ophthalmology》2024年第4期405-411,共7页眼科学期刊（英文）

摘　　要：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.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 

分 类 号：R72[医药卫生—儿科]