Intermittent Exotropia and Overminus Lens Therapy in Macedonia
Antonela Ljubic
Orcid profile, Galina Dimitrova
- Department of Ophthalmology, City General Hospital “September 8 “Skopje, Republic of North Macedonia
- Department of Ophthalmology, Faculty of Dental Medicine, European UniversitySkopje, Republic of North Macedonia
Orcid profile, Snezhana Zechevikj
- Department of Strabismus and Amblyopia, European Eye HospitalSkopje, Republic of North Macedonia
- Department of Ophthalmology, Faculty of Medical Sciences, University “Goce Delchev”Shtip, Republic of North Macedonia
Orcid profile and Vladimir Trajkovski
Orcid profile 
Published Online: Nov 17, 2024
Page range: 420 - 423
Received: Jul 30, 2024
Accepted: Sep 01, 2024
DOI: https://doi.org/10.3889/oamjms.2024.11950
Keywords
© 2024 Antonela Ljubic et al., published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License.
AIM
Intermittent exotropia (IXT) is the most common form of exodeviations. The aim of our study was to investigate the outcome after overminus lens therapy in children and young adults with IXT.
METHODS
Fifty-three children and young adults with IXT, aged 3–33 years, from Macedonia, underwent slit-lamp examination, ocular motility, and refraction. For assessing near control in children and young adults with IXT, we used an office-based Mayo Scale.
RESULTS
Most of the patients had Mayo score 1 (30.2%) and Mayo score 2 (26.4%). A Mayo score of 3 was presented in 18.9% of the patients, and Mayo score of 0 in 15.1%. A Mayo score of 4 was presented in 5.7%, and Mayo scored only in 3.8% of the IXT patients. After prescribing overminus glasses, 43.4% of the IXT patients showed better outcomes with better punctum proximum convergence and/or, better stereoacuity, and/or smaller near angle of deviation (in pdp). 52.8% same motility and sensory outcome was observed, whereas only in 3.8% worse findings were reported.
CONCLUSIONS
Our study group was with a mean age over 5 (10.2 years) and we used lower overminus therapy (add. −0.75 D). The following studies of overminus lens therapy on IXT children and young adults over 5 years of age, should confirm our findings of a high percentage of improvement in terms of Mayo near control assessment.