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lack of ability to enroll from other sites
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This study intends to determine the number and percent of subjects initially diagnosed with divergence excess exotropia which would be reclassified as simulated divergence excess exotropia if tested after 24 hours of monocular occlusion (patching) or after prism adaptation for the distance angle.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patching | Experimental |
| |
| Prism Adaptation | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patching | Procedure | The subject will occlude the non-dominant eye for 24 hours. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Percent of participants reclassified as divergence excess exotropia | Percentage of patients with distance and near exotropia measurements within 2.5 prism diopters on alternate prism and cover testing after 24 hours of patching or 7-14 days of fresnel prism use. | 2 weeks |
| Percent of participants reclassified as simulated divergence excess exotropia | Percentage of patients with distance and near exotropia measurements differing by more than 2.5 prism diopters on alternate prism and cover testing after 24 hours of patching or 7-14 days of fresnel prism use. | 2 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California Los Angeles | Los Angeles | California | 90095 | United States | ||
| Harvard University |
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| ID | Term |
|---|---|
| D005099 | Exotropia |
| ID | Term |
|---|---|
| D013285 | Strabismus |
| D015835 | Ocular Motility Disorders |
| D003389 | Cranial Nerve Diseases |
| D009422 | Nervous System Diseases |
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| Prism Adaptation |
| Procedure |
The subject will undergo prism adaptation targeting the pre-occlusion distance angle for 1-2 weeks. • Fresnel prism(s) will be applied to the patient's spectacles equaling the distance angle between the two eyes. At the examiner's discretion depending on the size of the deviation, the prism(s) can be placed solely over the non-dominant eye, or split between the 2 eyes in some combination which results in equalization of the distance exotropia. If the distance angle calls for an amount of prism that cannot be exactly replicated with Fresnel prisms (e.g., 32 PD), the amount of prism used will be determined by rounding down to the nearest practical amount at examiner discretion. |
|
| Boston |
| Massachusetts |
| 02115 |
| United States |
| Ross Eye Institute | Buffalo | New York | 14209 | United States |
| University of Rochester Medical Center | Rochester | New York | 14642 | United States |
| University of Pittsburgh | Pittsburgh | Pennsylvania | 15213 | United States |
| Queen's University | Kingston | Ontario | Canada |
| LV Prasad Eye Institute | Hyderabad | India |
| Shamir Medical Center | Rishon LeZiyyon | Central District | Israel |
| University of Milan | Milan | Italy |
| D005128 |
| Eye Diseases |