{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T11:38:16Z","timestamp":1788262696302,"version":"build-2803163510"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Evaluating the effect of binocular vision training (BVT) on Newcastle Control Score (NCS)-Home, near stereopsis and convergence amplitudes in intermittent exotropia (IXT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Retrospective observational study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      30 subjects diagnosed with IXT underwent online BVT with the BYNOCS\n                      <jats:sup>\u00ae<\/jats:sup>\n                      program. The BVT was divided into three phases (Phase 1, 2, and 3) for 20 sessions. The frequency was reduced to twice a week as a maintenance therapy. The vision training included antisuppression in the form of dichoptic therapy and exercises to enhance stereopsis and convergence. Evaluation of NCS-Home, Near Stereopsis, and convergence amplitude was conducted both before and after the training program.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Nonparametric statistical tests were applied for the data analysis. The median age of the subjects was 14.5 years (10-22.75). Out of them, 13 were female and 17 male. The NCS-Home improved from 2 (1-3) to 0 (0-0) post BVT. The stereopsis changed from 1.48 log units (1.47-1.77) to 2.30 log units (2.07-2.47). The median convergence break point improved from 14 Prism Diopter, PD (4-20), to 38 PD (32-40). The median convergence recovery point improved from 6.25 PD (2-13.5) to 37 PD (30-40) post BVT. Wilcoxon signed-rank test showed significant improvement (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) in all aforementioned parameters.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>BVT for 20 online sessions is an effective method to improve control of IXT with improvement in NCS-Home, Near Stereopsis, and convergence amplitudes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_724_25","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T12:00:22Z","timestamp":1758801622000},"page":"1422-1425","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Effectiveness of binocular vision therapy in managing patients with intermittent exotropia"],"prefix":"10.4103","volume":"73","author":[{"given":"Affan Ashfaque Ahmed","family":"Ansari","sequence":"first","affiliation":[{"name":"Optometrist and Vision Therapist, Bynocs, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Strabismus, Pediatric Ophthalmology and Neuro Ophthalmology, Centre for Sight, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erum W","family":"Khateeb","sequence":"additional","affiliation":[{"name":"Department of Strabismus, Pediatric Ophthalmology and Neuro Ophthalmology, Centre for Sight, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faiza","family":"Bhombal","sequence":"additional","affiliation":[{"name":"Optometrist and Vision Therapist, Bynocs, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shruti","family":"Lad","sequence":"additional","affiliation":[{"name":"Optometrist and Vision Therapist, Bynocs, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varsha","family":"Jain","sequence":"additional","affiliation":[{"name":"Optometrist and Vision Therapist, Bynocs, Mumbai, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areeba","family":"Usmani","sequence":"additional","affiliation":[{"name":"Optometrist, Department of Pediatric Ophthalmology, Centre for Sight, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antariksh","family":"Jain","sequence":"additional","affiliation":[{"name":"Optometrist, Department of Pediatric Ophthalmology, Centre for Sight, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Oliullah","family":"Abdal","sequence":"additional","affiliation":[{"name":"Optometrist and 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