Abstract：
UNASSIGNED: Intermittent exotropia is a common form of pediatric strabismus characterized by intermittent misalignment of the eyes. This study investigated the clinical effectiveness of alternating occlusion therapy as a non-surgical alternative for children aged 3-10 with intermittent exotropia.
UNASSIGNED: A comprehensive review of recent research, including randomized controlled trials and case series, was conducted. These studies utilized standardized control scores to assess the impact of alternating occlusion therapy on both distance and near control of alignment.
UNASSIGNED: The findings indicated a significant improvement in exotropia control, particularly at distance fixation, among children undergoing alternating occlusion therapy. While some variability in outcomes exists, all articles demonstrate positive responses to this noninvasive approach. Notably, the patients with poor initial control tended to benefit the most.
UNASSIGNED: The potential advantages of alternating occlusion therapy are its cost-effectiveness and noninvasive nature. However, it is essential to manage patient and parental expectations and address potential drawbacks, including social stress, irritation associated with occlusion therapy and the possibility that strabismus surgery may still be needed in the future because of decompensation.
UNASSIGNED: Alternating occlusion therapy is a promising option to improve exotropia control in children with intermittent exotropia. It offers a viable non-surgical strategy to delay or potentially avoid strabismus surgery, although approximately 45% of the patients might eventually still require strabismus surgery. Healthcare providers should carefully weigh the benefits and limitations of this intervention to make informed decisions through shared decision-making with the patients and their families. This review offers diverse insights into the clinical management of intermittent exotropia and provides an evidence-based alternative to surgical interventions.
UNASSIGNED: A comprehensive review of recent research, including randomized controlled trials and case series, was conducted. These studies utilized standardized control scores to assess the impact of alternating occlusion therapy on both distance and near control of alignment.
UNASSIGNED: The findings indicated a significant improvement in exotropia control, particularly at distance fixation, among children undergoing alternating occlusion therapy. While some variability in outcomes exists, all articles demonstrate positive responses to this noninvasive approach. Notably, the patients with poor initial control tended to benefit the most.
UNASSIGNED: The potential advantages of alternating occlusion therapy are its cost-effectiveness and noninvasive nature. However, it is essential to manage patient and parental expectations and address potential drawbacks, including social stress, irritation associated with occlusion therapy and the possibility that strabismus surgery may still be needed in the future because of decompensation.
UNASSIGNED: Alternating occlusion therapy is a promising option to improve exotropia control in children with intermittent exotropia. It offers a viable non-surgical strategy to delay or potentially avoid strabismus surgery, although approximately 45% of the patients might eventually still require strabismus surgery. Healthcare providers should carefully weigh the benefits and limitations of this intervention to make informed decisions through shared decision-making with the patients and their families. This review offers diverse insights into the clinical management of intermittent exotropia and provides an evidence-based alternative to surgical interventions.
摘要：
■间歇性外斜视是小儿斜视的一种常见形式，其特征是眼睛间歇性错位。这项研究调查了交替闭塞疗法作为3-10岁间歇性外斜视儿童的非手术替代疗法的临床有效性。
■对最新研究的全面回顾，包括随机对照试验和病例系列，进行了。这些研究利用标准化控制评分来评估交替闭塞治疗对距离和近控制对准的影响。
■研究结果表明，外斜视控制显着改善，特别是在距离固定时，在接受交替闭塞治疗的儿童中。虽然结果存在一些可变性，所有文章均显示对这种非侵入性方法的积极反应.值得注意的是,初始控制较差的患者获益最多。
■交替闭塞疗法的潜在优势是其成本效益和非侵入性。然而,管理患者和父母的期望并解决潜在的缺点至关重要，包括社会压力,与闭塞治疗相关的刺激，以及由于代偿失调，未来仍需要斜视手术的可能性。
■交替闭塞疗法是改善间歇性外斜视儿童外斜视控制的有希望的选择。它提供了一种可行的非手术策略来延迟或潜在地避免斜视手术，尽管大约45%的患者最终可能仍需要斜视手术。医疗保健提供者应仔细权衡这种干预措施的益处和局限性，以便通过与患者及其家人共同决策做出明智的决定。这篇综述为间歇性外斜视的临床管理提供了不同的见解，并提供了一种基于证据的替代手术干预措施。
■对最新研究的全面回顾，包括随机对照试验和病例系列，进行了。这些研究利用标准化控制评分来评估交替闭塞治疗对距离和近控制对准的影响。
■研究结果表明，外斜视控制显着改善，特别是在距离固定时，在接受交替闭塞治疗的儿童中。虽然结果存在一些可变性，所有文章均显示对这种非侵入性方法的积极反应.值得注意的是,初始控制较差的患者获益最多。
■交替闭塞疗法的潜在优势是其成本效益和非侵入性。然而,管理患者和父母的期望并解决潜在的缺点至关重要，包括社会压力,与闭塞治疗相关的刺激，以及由于代偿失调，未来仍需要斜视手术的可能性。
■交替闭塞疗法是改善间歇性外斜视儿童外斜视控制的有希望的选择。它提供了一种可行的非手术策略来延迟或潜在地避免斜视手术，尽管大约45%的患者最终可能仍需要斜视手术。医疗保健提供者应仔细权衡这种干预措施的益处和局限性，以便通过与患者及其家人共同决策做出明智的决定。这篇综述为间歇性外斜视的临床管理提供了不同的见解，并提供了一种基于证据的替代手术干预措施。
