INFANTILE EXOTROPIA - A CASE REPORT

Author: Narmina R. Hajiyeva MD, Ph.D. National Ophthalmology Center named after the Academician Zarifa Aliyeva, Baku, Azerbaijan. Published Online: 15 November, 2022. DOI: 10.30546/2788-516X.2022.3.2.6

Author: Narmina R. Hajiyeva MD, Ph.D. National Ophthalmology Center named after the Academician Zarifa Aliyeva, Baku, Azerbaijan. Published Online: 15 November, 2022. DOI: 10.30546/2788-516X.2022.3.2.6

Keywords: exotropia, infantil exotropia, strabismus, amblyopia, Microanisometropia

Abstract

Purpose: To determine whether early exotropia can be treated with glasses.

Methods: Case report A comprehensive ophthalmic examination was carried out in the following order: photorefraction using the Plusoptix A09photoscreener without cycloplegia, orthoptic examination with the prism alternative and cover test, anterior segment assessment using a slit lamp, a fundus examination, cycloplegic retinoscopy and an autorefractometer Sure sight. Results: A clinical case of a 3-month-old child with infantile exotropia is presented. The refraction was astigmatic with a degree of 1.25 diopter in the right eye and 1.75 diopter in the left eye.

Conclusion: One of the main causes of infantile exotropia is a minimal degree of anisometropia between the two eyes in the astigmatic component. In cases of infantile or early esotropia, the timely prescription of glasses with a minimum degree of the astigmatic component of anisometropia, taking into account 0.25 diopter, can lead to the disappearance of esotropia.