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The use of the Newcastle Control Score in the management of intermittent exotropia

Aim: To evaluate the use of the Newcastle Control Score (NCS) in the management of intermittent exotropia (X(T)). Participants and methods: Children aged

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Published in:British journal of ophthalmology 2007-02, Vol.91 (2), p.215-218
Main Authors: Buck, Deborah, Hatt, Sarah R, Haggerty, Helen, Hrisos, Susan, Strong, Nicholas P, Steen, Nicholas I, Clarke, Michael P
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container_title British journal of ophthalmology
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creator Buck, Deborah
Hatt, Sarah R
Haggerty, Helen
Hrisos, Susan
Strong, Nicholas P
Steen, Nicholas I
Clarke, Michael P
description Aim: To evaluate the use of the Newcastle Control Score (NCS) in the management of intermittent exotropia (X(T)). Participants and methods: Children aged
doi_str_mv 10.1136/bjo.2006.097790
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Participants and methods: Children aged <11 years with X(T) had an assessment of NCS as part of routine management. Other data collected included visual acuity, near and distance alignment with alternating prism cover test and near (Frisby test) and distance stereoacuity (Frisby Davis Distance Stereotest (FD2TM)). Analysis involved correlation between baseline NCS, angle and stereoacuity, examination of change over time and logistic regression to determine predictors of surgery. Results: Baseline data were obtained on 272 children and follow-up data on 157. Mean (SD) age was 4 (1.9) years. Complete NCSs were obtained for all except one child at baseline, and all children at follow-up. At baseline, total NCS and the home control component were correlated with near stereo (r = –0.22, p<0.01 and r = –0.19, p<0.02, respectively), near alignment (r = 0.34, p<0.001 and r = 0.19, p<0.02) and distance alignment (r = 0.30, p<0.001 and r = 0.26, p<0.001). The clinic near control component was correlated with near alignment (r = 0.39, p<0.001), but not near stereoacuity, and the clinic distance control with near alignment (r = 0.16, p<0.02), distance alignment (r = 0.27, p<0.001) and distance stereoacuity (r = –0.25, p<0.03). A high (poor) NCS (⩾4) at the latest follow-up predicted surgery (p<0.001, OR 29.3, 95% CI 6.2 to 138.7). Conclusion: The NCS is a useful measure of the clinical severity of X(T), can be used to serially assess improvement or deterioration and is a useful tool for the management of these patients.]]></description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.2006.097790</identifier><identifier>PMID: 17020901</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>binocular single vision ; Biological and medical sciences ; BSV ; Child ; Child, Preschool ; Clinical Science - Extended Report ; Data Interpretation, Statistical ; Exotropia - diagnosis ; Exotropia - physiopathology ; Exotropia - surgery ; Follow-Up Studies ; Humans ; Infant ; intermittent exotropia ; Medical sciences ; Miscellaneous ; NCS ; Newcastle Control Score ; Oculomotor disorders ; Ophthalmology ; Prognosis ; Severity of Illness Index ; Visual Acuity ; X(T)</subject><ispartof>British journal of ophthalmology, 2007-02, Vol.91 (2), p.215-218</ispartof><rights>Copyright 2007 British Journal of Ophthalmology</rights><rights>2007 INIST-CNRS</rights><rights>Copyright: 2007 Copyright 2007 British Journal of Ophthalmology</rights><rights>Copyright © 2007 BMJ Publishing Group</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b522t-4c6dbd5385c72ee801f39d00b237c8c0e8b2a750d10cffccbc7c35b8918dffd3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1857598/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1857598/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=18439782$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17020901$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Buck, Deborah</creatorcontrib><creatorcontrib>Hatt, Sarah R</creatorcontrib><creatorcontrib>Haggerty, Helen</creatorcontrib><creatorcontrib>Hrisos, Susan</creatorcontrib><creatorcontrib>Strong, Nicholas P</creatorcontrib><creatorcontrib>Steen, Nicholas I</creatorcontrib><creatorcontrib>Clarke, Michael P</creatorcontrib><title>The use of the Newcastle Control Score in the management of intermittent exotropia</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description><![CDATA[Aim: To evaluate the use of the Newcastle Control Score (NCS) in the management of intermittent exotropia (X(T)). Participants and methods: Children aged <11 years with X(T) had an assessment of NCS as part of routine management. Other data collected included visual acuity, near and distance alignment with alternating prism cover test and near (Frisby test) and distance stereoacuity (Frisby Davis Distance Stereotest (FD2TM)). Analysis involved correlation between baseline NCS, angle and stereoacuity, examination of change over time and logistic regression to determine predictors of surgery. Results: Baseline data were obtained on 272 children and follow-up data on 157. Mean (SD) age was 4 (1.9) years. Complete NCSs were obtained for all except one child at baseline, and all children at follow-up. At baseline, total NCS and the home control component were correlated with near stereo (r = –0.22, p<0.01 and r = –0.19, p<0.02, respectively), near alignment (r = 0.34, p<0.001 and r = 0.19, p<0.02) and distance alignment (r = 0.30, p<0.001 and r = 0.26, p<0.001). The clinic near control component was correlated with near alignment (r = 0.39, p<0.001), but not near stereoacuity, and the clinic distance control with near alignment (r = 0.16, p<0.02), distance alignment (r = 0.27, p<0.001) and distance stereoacuity (r = –0.25, p<0.03). A high (poor) NCS (⩾4) at the latest follow-up predicted surgery (p<0.001, OR 29.3, 95% CI 6.2 to 138.7). Conclusion: The NCS is a useful measure of the clinical severity of X(T), can be used to serially assess improvement or deterioration and is a useful tool for the management of these patients.]]></description><subject>binocular single vision</subject><subject>Biological and medical sciences</subject><subject>BSV</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Clinical Science - Extended Report</subject><subject>Data Interpretation, Statistical</subject><subject>Exotropia - diagnosis</subject><subject>Exotropia - physiopathology</subject><subject>Exotropia - surgery</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>intermittent exotropia</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>NCS</subject><subject>Newcastle Control Score</subject><subject>Oculomotor disorders</subject><subject>Ophthalmology</subject><subject>Prognosis</subject><subject>Severity of Illness Index</subject><subject>Visual Acuity</subject><subject>X(T)</subject><issn>0007-1161</issn><issn>1468-2079</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNqFkc1v1DAQxS0EokvhzA1FQnColO3YSfxxqQRLC0irRYIVHC3HcVovSbzYDpT_vk6zaoELJ3v0fvP0Rg-h5xiWGBf0tN65JQGgSxCMCXiAFrikPCfAxEO0AACWY0zxEXoSwi6NhGL2GB1hBgQE4AX6vL0y2RhM5tospu_G_NIqxM5kKzdE77rsi3beZHa4lXs1qEvTmyFOC3aIxvc2xmk21y7xe6ueoket6oJ5dniP0fbifLv6kK8_vf-4erPO64qQmJeaNnVTFbzSjBjDAbeFaABqUjDNNRheE8UqaDDottW61kwXVc0F5k3bNsUxOptt92Pdm0anDF51cu9tr_xv6ZSVfyuDvZKX7qfEvGKV4Mng9cHAux-jCVH2NmjTdWowbgySclEWQCGBL_8Bd270Q7pNYsa4ICWHye50prR3IXjT3kXBIKeyZCpLTmXJuay08eLPC-75QzsJeHUAVNCqa70atA33HC8LwThJXD5zNkRzfacr_11SVrBKbr6u5PodhYvNt7eyTPzJzNf97r8pbwC_qLqB</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Buck, Deborah</creator><creator>Hatt, Sarah R</creator><creator>Haggerty, Helen</creator><creator>Hrisos, Susan</creator><creator>Strong, Nicholas P</creator><creator>Steen, Nicholas I</creator><creator>Clarke, Michael P</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20070201</creationdate><title>The use of the Newcastle Control Score in the management of intermittent exotropia</title><author>Buck, Deborah ; 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Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Buck, Deborah</au><au>Hatt, Sarah R</au><au>Haggerty, Helen</au><au>Hrisos, Susan</au><au>Strong, Nicholas P</au><au>Steen, Nicholas I</au><au>Clarke, Michael P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The use of the Newcastle Control Score in the management of intermittent exotropia</atitle><jtitle>British journal of ophthalmology</jtitle><addtitle>Br J Ophthalmol</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>91</volume><issue>2</issue><spage>215</spage><epage>218</epage><pages>215-218</pages><issn>0007-1161</issn><eissn>1468-2079</eissn><coden>BJOPAL</coden><abstract><![CDATA[Aim: To evaluate the use of the Newcastle Control Score (NCS) in the management of intermittent exotropia (X(T)). Participants and methods: Children aged <11 years with X(T) had an assessment of NCS as part of routine management. Other data collected included visual acuity, near and distance alignment with alternating prism cover test and near (Frisby test) and distance stereoacuity (Frisby Davis Distance Stereotest (FD2TM)). Analysis involved correlation between baseline NCS, angle and stereoacuity, examination of change over time and logistic regression to determine predictors of surgery. Results: Baseline data were obtained on 272 children and follow-up data on 157. Mean (SD) age was 4 (1.9) years. Complete NCSs were obtained for all except one child at baseline, and all children at follow-up. At baseline, total NCS and the home control component were correlated with near stereo (r = –0.22, p<0.01 and r = –0.19, p<0.02, respectively), near alignment (r = 0.34, p<0.001 and r = 0.19, p<0.02) and distance alignment (r = 0.30, p<0.001 and r = 0.26, p<0.001). The clinic near control component was correlated with near alignment (r = 0.39, p<0.001), but not near stereoacuity, and the clinic distance control with near alignment (r = 0.16, p<0.02), distance alignment (r = 0.27, p<0.001) and distance stereoacuity (r = –0.25, p<0.03). A high (poor) NCS (⩾4) at the latest follow-up predicted surgery (p<0.001, OR 29.3, 95% CI 6.2 to 138.7). Conclusion: The NCS is a useful measure of the clinical severity of X(T), can be used to serially assess improvement or deterioration and is a useful tool for the management of these patients.]]></abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>17020901</pmid><doi>10.1136/bjo.2006.097790</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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source Open Access: PubMed Central
subjects binocular single vision
Biological and medical sciences
BSV
Child
Child, Preschool
Clinical Science - Extended Report
Data Interpretation, Statistical
Exotropia - diagnosis
Exotropia - physiopathology
Exotropia - surgery
Follow-Up Studies
Humans
Infant
intermittent exotropia
Medical sciences
Miscellaneous
NCS
Newcastle Control Score
Oculomotor disorders
Ophthalmology
Prognosis
Severity of Illness Index
Visual Acuity
X(T)
title The use of the Newcastle Control Score in the management of intermittent exotropia
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