Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

144 questions · 145 findings · 16 reviews · Eyes and Vision

No studies found 46 · 31.7%GRADE not reported 0 · 0%Very low 30 · 20.7%Low 21 · 14.5%Moderate 44 · 30.3%High 4 · 2.8%

Patching vs active observation

Motor alignment at distance fixation Measured using PACT at 6 months · people with intermittent exotropia, aged less than 11 years

Patching showed no clear difference in motor alignment at distance fixation Measured using PACT at 6 months compared with active observation (high certainty).

1 finding from 1 review

Patching vs active observation

Minor adverse events Defined as any adverse event within 8 weeks of surgery that does not require further intervention · people with intermittent exotropia, aged less than 11 years

The review found no eligible studies for this question.

1 finding from 1 review

Lateral rectus recession and medial rectus plication vs lateral rectus recession and medial rectus resection

Motor alignment at distance fixation Measured using the PACT at 1 year · people with intermittent exotropia, aged over 6 years

Lateral rectus recession and medial rectus plication showed no clear difference in motor alignment at distance fixation Measured using the PACT at 1 year compared with lateral rectus recession and medial rectus resection (low certainty).

1 finding from 1 review

Lateral rectus recession and medial rectus plication vs lateral rectus recession and medial rectus resection

Motor fusion test · people with intermittent exotropia, aged over 6 years

It is very uncertain whether lateral rectus recession and medial rectus plication changes motor fusion test Measured using the synoptophore and Titmus fly… compared with lateral rectus recession and medial rectus resection (very low certainty).

1 finding from 1 review

Bilateral lateral rectus recession vs lateral rectus recession and medial rectus resection

Minor adverse events Defined as any adverse event within 8 weeks of surgery that does not require further intervention · people with intermittent exotropia, aged 3 to < 11 years

Bilateral lateral rectus recession showed no clear difference in minor adverse events Defined as any adverse event within 8 weeks of… compared with unilateral lateral rectus recession with medial rectus resection (low certainty).

1 finding from 1 review