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Gregory Tsoucalas, Markos Sgantzos
The eminent Greek physician Paul of Aegina, native of the Saronic island Aegina and pupil of the Alexandrian School, understood both exotropia and endotropia, his designation for esotropia and proposed therapeutic measures for their treatment during baby or toddler age. He had introduced an innovative method for the newborns to have a straight vision, "the congenital strabismus of the newborns must be treated with the placement of a facial mask (with 2 open holes in the middle axes of the eyes), so that the babies could only see in a straight line", combined with a small oil lamp to assure a direct eye alignment...
September 2016: Strabismus
G E Arblaster, J P Burke
AIM: To describe the surgical management and long-term outcome of a case of symptomatic residual acquired primary position excyclotropia, without changing the primary position vertical deviation. METHODS: This case report describes ipsilateral half tendon width transpositions of the left superior rectus temporally and inferior rectus nasally, combined with right inferior rectus posterior fixation suture at 11 mm. RESULTS: Three days postoperatively, the transposition procedure produced a 10° cyclotorsional change in primary position, resulting in 5° of incyclotorsion (double Maddox rod)...
September 2016: Strabismus
Pinar Bingol Kiziltunc, Huban Atilla, Feyza Çalış, Cem Alay
PURPOSE: Surgery for strabismus associated with neurological impairment is assumed to have unsatisfactory results in comparison with other strabismus cases. The aim of this study is to compare the surgical success rates of infantile esotropia (IE) and strabismus associated with neurological impairment. METHODS: The records of 103 patients that received operations for IE and strabismus associated with neurological impairment between January 1994 and May 2014 were reviewed retrospectively...
September 2016: Strabismus
A M Tjiam, W L Asjes-Tydeman, G Holtslag, E Vukovic, M M Sinoo, S E Loudon, J Passchier, H J de Koning, H J Simonsz
PURPOSE: This implementation study evaluated orthoptists' use of an educational cartoon ("the Patchbook") and other measures to improve compliance with occlusion therapy for amblyopia. METHODS: Participating orthoptists provided standard orthoptic care for one year, adding the Patchbook in the second year. They attended courses on compliance and intercultural communication by communication skills training. Many other compliance-enhancing measures were initiated...
September 2016: Strabismus
Catherine E Stewart, Shaheen Shah, Siobhan Wren, Clare J Roberts
AIMS: The proportion of patients seen by the paediatric eye service that attend for reasons related to amblyopia has not been quantified. The purpose of this study was to quantify the proportion of patients seen in the paediatric eye service attending for reasons related to amblyopia. METHODS: Records of all eye appointments of children attending the Hillingdon Hospitals NHS Foundation Trust and St Mary's Hospital Imperial College Healthcare NHS Trust over one month in 2009 were examined to determine the diagnosis and reason for attendance...
September 2016: Strabismus
Mohammad Reza Akbari, Masoomeh Mohebbi, Mohammadkarim Johari, Arash Mirmohammadsadeghi, Alireza Mahmoudi
PURPOSE: To present clinical findings of a 28-year-old woman with multifocal surgically induced necrotizing scleritis following uncomplicated strabismus surgery. METHOD: A 28-year-old woman underwent uncomplicated strabismus surgery of her right eye for sensory exotropia under general anesthesia (6 mm right medial rectus muscle resection and 8 mm right lateral rectus muscle recession). DESIGN: Retrospective, observational case report and literature review...
September 2016: Strabismus
AbbasAli Yekta, Hassan Hashemi, Hadi Ostadimoghaddam, Batool Haghighi, Hava Shafiee, Shiva Mehravaran, Payam Nabovati, Amir Asharlous, Mehdi Khabazkhoob
PURPOSE: To determine the prevalence of strabismus and amblyopia, and the distribution of the near point of convergence (NPC), in a population of children aged 4 to 6 years. METHODS: In this cross-sectional study, preschoolers in Mashhad were sampled using a random multistage cluster sampling approach. Examinations were done after obtaining parental consent. All participants had measurements of uncorrected visual acuity, corrected visual acuity, and non-cycloplegic refraction, and they had near and far cover tests to determine tropia and phoria...
September 2016: Strabismus
Muralidhar Rajamani, Vidhya Nagasubramanian, Christopher Devaraj, Ramamurthy Dandapani
INTRODUCTION: Undercorrections have been reported after a number of surgical procedures for Brown's syndrome. The reason for late undercorrections is not clear but may be related to the heterogeneous etiology of Brown's syndrome. PURPOSE: We report a patient with late undercorrection after superior oblique tendon recession for Brown's syndrome that was partially relieved by a silicone spacer placed nasally. RESULTS: We noted on surgical exploration that the superior oblique tendon had attached to the sclera under the nasal border of the superior rectus...
September 2016: Strabismus
David Newsham, Anna R O'Connor
BACKGROUND/AIMS: Occlusion used to treat amblyopia towards the end of the developmental component of the critical period gives a risk of inducing intractable diplopia. In the United Kingdom, the density of suppression is assessed via the Sbisa/Bagolini filter bar, but there is very little research evidence to guide clinical practice or interpretation of the tests used. The aims of this study were to determine current practice and estimate the incidence of intractable diplopia following amblyopia treatment...
June 2016: Strabismus
Maryam Aletaha, Abbas Bagheri, Fatemeh Roodneshin, Mahnaz Mosallaei, Shahin Yazdani
PURPOSE: To evaluate the incidence of the oculocardiac reflex (OCR) and its associated risk factors during strabismus surgery at a tertiary referral center. METHODS: Over a 2-year period, all strabismus surgery candidates were enrolled in the study. OCR was defined as heart rate reduction ≥15% after traction on extraocular muscle(s). The rate of OCR was determined and possible associations were explored. Variables included age, gender, type of strabismus, nature of surgery (weakening versus strengthening), specified extraocular muscle, times of surgery, and the sequence of operated muscles (eg, first, second, or third operated muscle)...
June 2016: Strabismus
Stephan Kehrein, Thomas Kohnen, Maria Fronius
PURPOSE: Interocular suppression is assumed to be the mechanism leading to impaired visual acuity, especially in strabismic amblyopia. Little is known about the dynamics of suppression during treatment. The aim of our study was to assess the development of the depth of suppression and its relation to changes in visual acuity during electronically monitored occlusion treatment. METHODS: In a prospective pilot study, 15 amblyopes (8 with and 7 without strabismus) aged 5 to 16 years (mean 10...
June 2016: Strabismus
F C Donders, D Doijer
No abstract text is available yet for this article.
June 2016: Strabismus
Nazife Sefi-Yurdakul, Betül Tuğcu
PURPOSE: To evaluate the incidence of strabismus in children initially diagnosed with pseudostrabismus and to identify risk factors for the development of strabismus. METHODS: The medical records of patients who were diagnosed with pseudostrabismus at initial examinations in outpatient clinic were reviewed retrospectively. Follow-up examinations were made at the strabismus department. Age at first examination, gender, family and developmental history, ophthalmic and orthoptic findings including orbit, and eyelid pathologies were investigated...
June 2016: Strabismus
Carla Costa Lança, Fiona J Rowe
PURPOSE: The aims of this study were to compare fusional vergence measurements between orthophoria, esophoria, and exophoria, and to determine the strength of correlations between fusional convergence and divergence and angle of deviation. METHODS AND MATERIALS: A cross-sectional study was performed in children with best-corrected visual acuity of 0.0 LogMAR in either eye, compensated heterophoria within 10 prism diopters (PD), full ocular rotations, presence of fusional vergence, and stereopsis (60 seconds of arc or better)...
June 2016: Strabismus
A A Elkamshoushy, D A El Sayed, D T Sprunger
PURPOSE: To evaluate the results of vertical muscle transposition with augmentation in cases of exotropia caused by iatrogenic lost medial rectus muscle. METHODS: This is a retrospective review of 5 cases of lost medial rectus with exotropia and marked limitation of adduction that underwent surgery. All cases had a history of strabismus surgery on the medial rectus and failed attempt at retrieval of the lost muscle. RESULTS: Five patients fulfilled the criteria...
June 2016: Strabismus
Murat Gunay, Mehmet Ali Sekeroglu, Handan Bardak, Gokhan Celik, Cenap Mahmut Esenulku, Emre Hekimoglu, Yavuz Bardak
PURPOSE: To assess ocular biometric outcomes following intravitreal bevacizumab (IVB) monotherapy for retinopathy of prematurity (ROP) and compare these results with those of laser photocoagulated infants and with the ones with spontaneously regressed ROP. MATERIALS AND METHODS: Premature infants including those who underwent IVB monotherapy (Group 1) or laser photocoagulation (Group 2) for ROP and infants with spontaneously regressed ROP (Group 3) were recruited for the study...
June 2016: Strabismus
Jan Roelof Polling, Virginie J M Verhoeven, J Willem L Tideman, Caroline C W Klaver
Sir Stewart Duke-Elder was probably the most influential ophthalmologist of the 20th century. One of his visionary pieces of work was his writing on myopia in the second edition of The Practice of Refraction, published in 1935. Many of his insights are now, 80 years later, supported by scientific proof. In terms of prognosis of myopia, he stated that this largely depended on the age of the patient. We now have epidemiologic evidence that age of onset is strongly related to final refractive error, and that high myopia carries a high risk of blindness...
2016: Strabismus
Stewart Duke-Elder
No abstract text is available yet for this article.
2016: Strabismus
Pernille Vita Fooken Jensen, Michael Stormly Hansen, Martin Nue Møller, Jon Peiter Saunte
BACKGROUND: Gradenigo's Syndrome (GS) is defined as the clinical triad of acute otitis media, ipsilateral sixth nerve palsy, and pain in the distribution of the first and the second branches of the fifth nerve. The purpose of this study is to review the literature and report 4 cases of GS. METHODS: The study is a retrospective case series and a review of the literature. Four consecutive patients (aged 5-70 years) treated by otolaryngologists and ophthalmologists for GS in the Capital region of Denmark from 2003 to 2015 are presented...
2016: Strabismus
Sara Flodin, Per Karlsson, Marita Andersson Grönlund
PURPOSE: To establish if cyclotorsion measurements obtained in a patient population using different methods of testing give equivalent results, and if the results from each test are repeatable over time. METHODS: Twenty referrals, from the orthoptic waiting list at Sahlgrenska University Hospital, Mölndal, Sweden, with vertical deviation stated as the primary reason for referral, were examined. Subjective cyclotorsion measurements using three different methods were performed...
2016: Strabismus
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