Dr.Jinal Gore

Dr.Suma Ganesh, Dr.SOVEETA SOURAVEE RATH

Abstract

Purpose: To determine clinical profile and risk factors of Indian children presenting with exotropia. Methods: Observational cross-sectional study of children <16yrs age, with exodeviation >10∆ who have not undergone any primary surgery, presenting from September 2018 to September 2019. Results: 286 cases were included. Median age of onset and presentation was 24 months and 60 months respectively. Intermittent exotropia (76.5%) was the most common form followed by Infantile(11.5%), Sensory(5.9%), Restrictive(3.1%), Paralytic(1.0%), Others(1.7%). Positive family history was present in 9.0%, developmental delay in 9.7%. DVD was present in 11.2%, Nystagmus in 8.0%, Amblyopia in 13.3%. Surgery was performed in 22.4%, Glasses 62.9%, Patching 44.4%, Fusional exercises 15.4%, Over minus glasses in 6.3%. Conclusion: In our study, Intermittent exotropia is the most common form of exodeviation. Prematurity, family history, low birth weight, neurological disease were significant risk factors.