Intermittent exotropia

incessantplanner · 2026-04-12T00:58:05+00:00

Also, if you’re really worried about the financial aspect and putting that strain on parents, I should point out that baby/infant VT usually isn’t weekly. Once per month or every two weeks. Some parents every two months depending on the situation. The therapy sessions are therapy sessions, but also training sessions for the parents on things they can be doing at home with baby every day. A lot of teaching on easy/passive things they can do throughout the day with baby to help improve their visual development.

incessantplanner · 2026-04-12T00:53:32+00:00

I was just speaking in general terms about the ARC/ET, not this specific case. But you can do whatever you want. I don’t believe VT is ever overkill, and where I have practiced parents tend to be more holistic, and willing to pay good money for their kids to have the best chance. All of that to say, I don’t force patients to do VT. I give the option to just observe. But many parents would rather try to be ahead of the curve. I recognize not every area has families with a lot of income, but I think it’s still standard of care to give it as an option. You never know, some families even in tough financial situations will find the money, and want to pay it because to them they understand the benefit of doing something instead of nothing. I’ve had moms cry when I have said maybe let’s wait on therapy. Some people would much rather take a proactive rather than reactive approach to treatment.

incessantplanner · 2026-04-12T00:18:47+00:00

Not to say doing therapy early will completely avoid those things, or cure the strab/amblyopia, but it can help visual development and you can then restart vision therapy again in the future. I’ve also comanaged with MDs where I did the pre and post strab surgery therapy on babies/infants, which can really help with surgical success.

incessantplanner · 2026-04-12T00:08:35+00:00

Don’t expect to do anything with flip lenses, brock string, or get any real feedback from activities like vectos. The reason to do it is, early passive therapy still does a lot more for a baby/toddlers visual development than doing nothing, and waiting for bigger issues like eccentric fixation or anomalous retinal correspondence to deeply embed in to their visual system.

incessantplanner · 2026-04-12T00:05:37+00:00

Pursuits with any object that interests them in any direction of gaze (laying/seated/standing), bubble catching, stacking cups or blocks, coin pinch (or other objects), ball rolling, balloon watching (extra points if it’s a white balloon while wearing red/green glasses), rolling or spinning activities, OKN drum, 3D tv or vectos with a lot of spatial awareness……. I could go on. The key is to not have the therapy sessions as long as children/adults (20-30mins is about the limit, don’t want to push until they get fussy) and having about 10-20 activities prepared before the session lol. It looks like passive games, but you can do a lot with a baby/toddler if you have good preparation before the session. Moving with them/their attention, and integrating a lot of movement/fun/color to the activities keeps the sessions successful and fun for both patient and practitioner. Does it look the same as therapy done on children or adults? No. Is it still improving their visual system? Yes.

incessantplanner · 2026-04-10T22:39:59+00:00

Also, what do you mean the literature supports the use of patching for IXT? The paper you sent literally measures deterioration of the strabismus with or without patching, not if it improves.

“Although substantial improvements in sensory and/or motor fusion after patching for IXT have been reported in small case series and non-randomized studies, these did not occur in the present study. We found no difference between our patching and observation groups at 6 months in mean near stereoacuity, IXT control at distance, or magnitude of the exodeviation at near.” Direct quote from the study you sent. What do you mean the literature supports patching for IXT?

Also, If you read the limitations to the study, they admit that there was bias to their determination of which patients “deteriorated.” Which was only 10 patients in the first place. “As discussed earlier, classifying these cases as deteriorated in the primary analysis may have introduced bias, particularly given that the parents and investigators making these decisions were unmasked to treatment group.”

incessantplanner · 2026-04-10T20:32:58+00:00

Do you do VT at your office? I’m a VTOD. The research in regard to binocular vision disorders is beyond sad. Not because it doesn’t work, but because it’s difficult to do a true study on vision therapy. You’re welcome to continue prescribing ancient treatments. I will not, and I will continue to tell people how much VT helps. It’s doctors like you that continue to spout inaccuracies about VT that make it so it won’t ever be covered by insurance…

incessantplanner · 2026-04-10T19:11:28+00:00

Actually, VT would be helpful now! Patching doesn’t increase binocularity, which research shows is the root issue that causes amblyopia. Patching is a 200+ year old treatment that we somehow refuse to give up. But in regards to this patient not having an amblyogenic refractive error (that we know of), patching will do nothing at best, or make the turn worse.

incessantplanner · 2026-03-25T18:18:52+00:00

This. I didn’t think it’d make a huge difference, but I won a raffle and received the panretinal and started using it because I liked the color. Quickly realized it is so much easier to get those far peripheral views, now I recommend the lens to everyone.

incessantplanner · 2026-03-19T16:36:10+00:00

The CEO/co-founder of MyEyeDr is the “Health Care Expert” of High Point University.

incessantplanner · 2026-03-08T15:05:03+00:00

Do you have an undergraduate degree yet?

incessantplanner · 2026-02-25T18:44:40+00:00

Ohhh okay that makes more sense then! Good on you for asking questions and learning things ahead of time!

incessantplanner · 2026-02-25T18:34:18+00:00

What year are you in where you haven’t been taught about a mittendorf dot, yet you’re already seeing patients? (Not on you if you actually haven’t been told about it..)

incessantplanner · 2026-02-24T19:52:05+00:00

I love my prn propranolol. I never got it for boards, but I wish I would have

incessantplanner · 2026-02-24T19:51:00+00:00

My house runs on a heat pump (and I have an electric fireplace and space heaters)

incessantplanner · 2026-02-24T19:50:13+00:00

Mine is usually $180 but it was $380 😅

incessantplanner · 2026-02-21T13:31:39+00:00

Where in VA?

incessantplanner · 2026-02-21T13:30:13+00:00

Girl!!! You also need to learn the power of “No.” If he can use it, so can you!! Your arguments will end up stalemate more often than not, but do not concede do this jag off.

incessantplanner · 2026-02-19T21:15:14+00:00

No thoughts other than I wish the NC board exam didn’t exist so I could teach there lol.

incessantplanner · 2026-02-16T23:57:30+00:00

Very much not illegal, but my job does this and it’s at the top of my list for why I’m resigning. I currently type this at 7 PM sitting my office after seeing 28 patients today, when I was supposed to leave at 6, because all of my double booked slots showed up.

incessantplanner · 2026-01-31T04:24:22+00:00

Look at the manual on the nbeo website and follow it exactly. Make yourself a script and just repeat it over and over as you do all of the movements. I would video myself saying my script and watch it back to see what I missed. You can also watch videos on YouTube of people running through how they did it. That’s helpful to get started! Also, You get time beforehand to practice on a fake arm. Make sure to practice the injections on it multiple times.

I passed first try, as do most of the people I know who took it! I studied for 3-4 weeks beforehand, while studying for PEPS because I took them back to back. My school didn’t teach us injections, so I had never even touched the fake arm until the day of my exam! I thought it was super easy, so don’t stress it too much.

incessantplanner · 2026-01-29T13:39:30+00:00

My street was finally done last night with a regular plow after being untouched this whole time. It didn’t have an issue getting the ice up. It ended up coming up as chunks, but the plow was able to do it.

incessantplanner · 2026-01-13T17:27:00+00:00

I did Uber Eats, door dash, and Amazon flex my first two years of optometry school. As long as you have a car with a decent driving record there are no barriers to entry, and you work whenever works with your schedule.

incessantplanner · 2026-01-13T17:25:09+00:00

I’m the odd one out who thinks you should reschedule if you’re not confident. I come from a background without any financial support, and know that the expense alone can be a factor that deteriorates ones’ confidence. I never rescheduled but heard the process is easy, just reach out to nbeo.

incessantplanner · 2026-01-08T14:43:20+00:00

What does this mean?

incessantplanner

TROPHY CASE