A Clinical Trial of Observation Versus Controlled Intermittent Alternate Occlusion (CIAO) Therapy for Intermittent Exotropia
Overview
- Phase
- Not Applicable
- Sponsor
- Salus University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Control of the exodeviation assessment (scaled 1-5)
Overview
Brief Summary
This study presents an opportunity to understand a novel, previously unreported controlled intermittent alternate occlusion (CIAO) therapy glasses, which may improve the control of Intermittent exotropia (IXT).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 3 Years to 11 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •The following criteria must be met for the patient to be enrolled in the study:
- •Age 3 to 11 years old
- •Intermittent exotropia (manifest deviation) meeting all of the following criteria:
- •Intermittent exotropia at distance OR constant exotropia at distance and either intermittent exotropia or exophoria at near
- •Exodeviation at least 10PD at distance OR 15PD at near measured by prism and alternate cover test (PACT)
- •No previous surgical or non-surgical treatment for IXT (other than refractive correction)
- •Visual acuity in the worse eye 20/40 (0.3 logMAR) or better on ATS HOTV for ages 3 - 5 and 20/25 (0.1 logMAR) or better on ATS HOTV for ages 6 - 11
- •No hyperopia greater than +3.50 D spherical equivalent in either eye
- •No myopia greater than -6.00 D spherical equivalent in either eye
- •Patients must be wearing refractive correction (spectacles or contact lenses) for at least one week if refractive error (based on cycloplegic refraction performed within 6 months) meets any of the following:
Exclusion Criteria
- •Only phoria at both distance and near
- •Prior non-surgical treatment for IXT other than refractive correction (e.g., vergence therapy, occlusion, vision therapy/orthoptics, or deliberate over-minus with spectacles more than 0.50D)
- •Previous amblyopia treatment other than refractive correction within 1 year
- •Vision therapy/orthoptics for any reason within the last year
- •Interocular visual acuity difference more than 0.2 logMAR (2 lines on ATS HOTV for patients 3 to \< 7 years old or 10 letters on E-ETDRS for patients ≥ 7 years old)
- •Investigator planning to initiate amblyopia treatment
Outcomes
Primary Outcomes
Control of the exodeviation assessment (scaled 1-5)
Time Frame: 3-month
Intermittent Exotropia Control Scale (1-5) 5 = Constant exotropia 4 = Exotropia \> 50% of the 30-second period before dissociation 3 = Exotropia \< 50% of the 30-second period before dissociation 2 = No exotropia unless dissociated, recovers in \> 5 seconds 1 = No exotropia unless dissociated, recovers in 1-5 seconds 0 = No exotropia unless dissociated, recovers in \< 1 second (phoria)
Secondary Outcomes
No secondary outcomes reported