Evidence map›Paper›PMID 40826344›Full record

ArticleBMC ophthalmology2025

Deviation control that deteriorates with fixation distance in basic-type intermittent exotropia.

Ryota Takada, Akemi Wakayama, Fumi Tanabe, Shunji Kusaka

Abstract read
In one paragraph

Article in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Ryota TakadaDepartment of Ophthalmology, Kindai University Faculty of Medicine, 377-2 Ohnohigashi, Osaka-sayama, Osaka, 589-8511, Japan. taka_r@med.kindai.ac.jp.
Akemi WakayamaDepartment of Ophthalmology, Kindai University Faculty of Medicine, 377-2 Ohnohigashi, Osaka-sayama, Osaka, 589-8511, Japan.
Fumi TanabeDepartment of Ophthalmology, Kindai University Faculty of Medicine, 377-2 Ohnohigashi, Osaka-sayama, Osaka, 589-8511, Japan.
Shunji KusakaDepartment of Ophthalmology, Kindai University Faculty of Medicine, 377-2 Ohnohigashi, Osaka-sayama, Osaka, 589-8511, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsThe clinical assessment of deviation control at near (30 cm or 1/3 m) and far (5-6 m) does not reflect if and how patients' control changes between these two predetermined test distances. We examine how patients' control varies at 6 fixation distances between the two clinical test distances of 30 cm and 5 m.

methodsThe medical records of 48 patients with basic intermittent exotropia (IXT) were retrospectively reviewed. Patients who had visited the Kindai University Hospital between October 2021 and March 2022 without a prior history of treatments except spectacle correction were included. Eye position was examined with refractive correction using the cover test, and 6 fixation distances at 30 cm, 1 m, 2 m, 3 m, 4 m, and 5 m were tested in increasing order. Control assessed at each fixation distance was classified using the Kushner's method (2019). This study rated the control of a poor or fair level as unfavorable and the control of an excellent or good level as favorable. The distance at which the patient's control deteriorated was analyzed.

resultsOf 48, 38 (79%) patients had a favorable baseline control, and 8 of them could maintain a favorable control at all distances. Of the 30 patients who could not maintain the favorable baseline control, 17 (57%) at 1 m, 2 (7%) at 2 m, 6 (20%) at 3 m, 2 (7%) at 4 m, and 2 (7%) at 5 m were observed with a control deterioration. The incidence of control deterioration at 1 m was significantly higher than the incidence at other distances (between 1 and 2, 4, 5 m, p < 0.01; between 1 and 3 m, p < 0.05).

conclusionsDeviation control in patients with basic IXT was affected by fixation distance and most likely worsened at 1 m. Assessing control at various fixation distances may provide a more comprehensive understanding of patients' actual control.

Indexed as

ExotropiaEye MovementsFixation, OcularVision, BinocularAdolescentAdultChildChild, PreschoolFemaleHumansMaleMiddle AgedRetrospective StudiesVisual AcuityYoung AdultControlCover testFixation distanceIntermittent exotropia

Identifiers

PMID40826344
PMCPMC12360018

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.