Nurul Farhana Bt Abu Bakar, Oral Presentation 3

Abstract 03 THE OUTCOME OF NON-SURGICAL INTERVENTION AMONG PEDIATRIC PATIENTS WITH EXOTROPIA AT HOSPITAL RAJA PERMAISURI BAINUN Nurul Farhana Abu Bakar, Nur Amirah Meor Shaharuddin* Optometry Unit, Department of Ophthalmology, Hospital Raja Permaisuri Bainun, Jalan Raja Ashman Shah, 30450 Ipoh, Perak. Purpose: Exotropia is a common type of strabismus among Asian children. Non-surgical management options for strabismic patients are controversial due to the lack of evidence in its effectiveness. The aim of this study was to report the outcome of non-surgical intervention of exotropia cases and its associated factors. Methods: This retrospective study was based on data from Hospital Raja Permaisuri Bainun Health Information System. All pediatric patients with exotropia aged between 2 to 17 years old who attended orthoptics and binocular vision clinic were recruited. Exotropia interventions were considered success if patient achieved good binocular single vision at distance and near without any manifest ocular deviation. Results: A total of 77 patients were included in the analysis. Approximately 65% of patients with exotropia were given non-surgical interventions with 44% of success rate within 1 year follow-up. The success rate of non-surgical intervention was found significantly related to the type of exotropia (χ2=5.864, p<0.05) and child’s age (χ2=5.864, p<0.05).Conclusions: Non-surgical intervention among children with exotropia is quite promising especially among older age children and in intermittent exotropia cases. High percentage of non-surgical intervention given for exotropia patients suggested the importance of optometrists’ role in the management of strabismus. More comprehensive studies are required to evaluate the efficacy of the non-surgical intervention procedures to find out the most effective strategy.