Evidence map›Paper›PMID 32775794›Full record

ReviewJournal of current ophthalmology

Non-surgical Management Options of Intermittent Exotropia: A Literature Review.

Samira Heydarian, Hassan Hashemi, Ebrahim Jafarzadehpour, Amin Ostadi, Abbasali Yekta, Mohamadreza Aghamirsalim, Nooshin Dadbin, Hadi Ostadimoghaddam, Fahimeh Khoshhal, Mehdi Khabazkhoob

Abstract readReview
In one paragraph

Review in Journal of current ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Samira HeydarianDepartment of Rehabilitation Sciences, School of Allied Medical Sciences, Mazandaran University of Medical Sciences, Sari, Iran.
Hassan HashemiNoor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran.
Ebrahim JafarzadehpourDepartment of Optometry, Iran University of Medical Sciences, Tehran, Iran.
Amin OstadiNoor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran.
Abbasali YektaDepartment of Optometry, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran.
Mohamadreza AghamirsalimEye Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Nooshin DadbinNoor Research Center for Ophthalmic Epidemiology, Noor Eye Hospital, Tehran, Iran.
Hadi OstadimoghaddamRefractive Errors Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Fahimeh KhoshhalDezful University of Medical Sciences, Dezful, Iran.
Mehdi KhabazkhoobDepartment of Medical Surgical Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo review current non-surgical management methods of intermittent exotropia (IXT) which is one of the most common types of childhood-onset exotropia.

methodsA search strategy was developed using a combination of the words IXT, divergence excess, non-surgical management, observation, overcorrecting minus lens therapy, patch/occlusion therapy, orthoptics/binocular vision therapy, and prism therapy to identify all articles in four electronic databases (PubMed, Web of Science, Google Scholar, and Scopus). To find more articles and to ensure that the databases were thoroughly searched, the reference lists of the selected articles were also reviewed from inception to June 2018 with no restrictions and filters.

resultsIXT is treated when binocular vision is impaired, or the patient is symptomatic. There are different surgical and non-surgical management strategies. Non-surgical treatment of IXT includes patch therapy, prism therapy, orthoptic sessions, and overcorrecting minus lens therapy. The objective of these treatments is to reduce the symptoms and the frequency of manifest deviation by decreasing the angle of deviation or enhancing the ability to control it.

conclusionsEvidence of the efficacy of non-surgical management options for IXT is not compelling. More comprehensive randomized controlled trial studies are required to evaluate the effectiveness of these procedures and detect the most effective strategy.

Indexed as

Divergence excessIntermittent exotropiaNon-surgical management

Identifiers

PMID32775794
PMCPMC7382517

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.