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The Evaluation of Office Control in Intermittent Exotropia: A Systematic Approach

Correspondence: Requests for reprints should be addressed to: Judy L. Petrunak, C.O., Children’s Eye Care, PC, Children’s Hospital of Michigan, 37555 Garfield Rd., Suite 105, Clinton Township, MI 38036.

Introduction: The clinical assessment of control in childhood intermittent exotropia is difficult to characterize and document. Yet the quality of control often dictates when to proceed with treatment for X(T).

Methods: A prospective method to evaluate and document control in children with X(T) is presented, utilizing the timeliness of the recovery of fusion after brief and prolonged binocular dissociation.

Conclusion: This assessment provides a method to systematically observe, describe, and document the control of X(T) in an office setting.

Key words: intermittent exotropia, fixation preference, fusion