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<strong>Squint</strong> <strong>Free</strong> <strong>Papers</strong><br />

disorder to treat, particularly because of reluctance on the part of the patient<br />

to undergo surgery for a condition that is only occasionally present and also<br />

on the part of the surgeon who has to weigh the pros and cons of surgery and<br />

its appropriate timing. The issue of binocularity and its effect on the daily<br />

working of the individual is perhaps the most important consideration while<br />

making such decisions. An attempt has been made with the help of this study<br />

to elucidate the fact that BPS can help simplify decision making both for the<br />

surgeon as well as the patient. The BPS combines multiple variables hence is<br />

an effective predictive tool that could be used to explain prognosis to patients<br />

and can also serve as a guideline for planning surgery at an appropriate stage.<br />

The patients can be counselled that though the disease is intermittent waiting<br />

will lead to deterioration of the BPS grade and consequently poorer sensory<br />

results. Thus the primary utility of BPS is for follow up and for deciding<br />

appropriate timing for surgery.<br />

REFERENCES<br />

1. Yang CQ, Shen Y, Gu YS, Han W. Clinical investigation of surgery for intermittent<br />

exotropia. J ZhejiangUniv Sci B 2008;9:470-3.<br />

2. Wu QZ, Wu X, Lu W, Wang JH, Clinical investigation on binocular vision in<br />

intermittent exotropia before and after surgery. Zhonghua Yan Ke Za Zhi. 2007;<br />

43:968-71.<br />

3. Saunders RA, Trivedi RH. Sensory results after lateral rectus recession for<br />

intermittent exotropia operated before two years of age. J AAPOS 2008;12:132-5.<br />

4. Sharma P. Evaluation of distance and near stereoacuity and fusional vergence in<br />

intermittent exotropia. Indian J OPhthalmol. 2008;56:121-5.<br />

5. Singh V, Panday M, Agrawal S. Binocular potential score: A novel concept. J Pediatr<br />

Ophthalmol Strabismus 2008;45:104-8.<br />

6. Von Noorden GK. Binocular Vision and Ocular Motility. St Louis: Mosby Year Book;<br />

2002;6:367.<br />

7. Pineles SL, Ela-Dalman N, Zvansky AG, Yu F, Rosenbaum AL. Long-term results of<br />

the surgical management of intermittent exotropia. JAAPOS. 2010;14:298-304.<br />

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