JMRH Vol. 11 No. 01 (October 2024)

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Control Scoring in Intermittent Exotropia: A Descriptive Study in a Pediatric Population
(Chitkara University Publications, 2024-10-20) Kumar, Rajesh; MalharVyas; Passi, Neebha; Prajapat, Manish Kumar
Background: Intermittent exotropia (IXT) is a condition characterized by fluctuating control, and the optimal approach for monitoring it is a subject of continual discussion. Purpose: The aim of this study is to assess the reliability of repeated measurements of the Office Control Score (OCS) and its correlation with distance stereopsis in children diagnosed with intermittent exotropia (IXT). Methods: This prospective study involved 98 children, who were categorized according to deviation angle (<20 PD and ≥20 PD). OCS was assessed at three time points, and stereopsis was evaluated through the Titmus and Distance Randot tests. Results: Results indicate that both groups exhibited statistically significant improvements in OCS across visits, with Group A showing superior control and stereopsis outcomes at the third visit (P < 0.05). Children with smaller deviation angles exhibited significantly improved distance stereopsis. Conclusions: Multiple OCS measurements, as opposed to a single-point assessment, offer a more stable and reliable approach for monitoring control in IXT. This method may facilitate prompt surgical referrals and enhance clinical outcomes.