DR. AAKANKSHA RAGHUVANSHI

DR.DR. VAISHALI TOMAR, DR. SHIPRA SHARDA, PROF.SUBHASH DADEYA

Abstract

Aim: To find out whether early surgical intervention is more effective or late in intermittent exotropia?

Material and Methods: 60 consecutive patients were divided into two groups of 30 each. 30 patients had their surgery prior to the age of 4 years and 30 after the age of 4 years. Pre and postoperative deviations were measured at 6m and 33 cm. Patients were followed up at 1,4,8 and 12 weeks after surgery.

Results: 85.7% (24 patients out of 28) satisfactory alignment (±10PD) was obtained in those patients who had their surgery prior to the age of 4 years in contrast to 42.85% (12/28) in those who had their surgery following their 4th birthday (p<0.02). There was improvement in binocular status also. Conclusion: Surgical intervention before 4 years of age yields better functional and cosmetic results compared to surgical intervention after 4 years of age.