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Anton M Kolomeyer, Ken K Nischal, Ellen Mitchell
PURPOSE: To report a case of bilateral cavernous sinus thrombosis (CST) in a patient with tacrolimus-associated posttransplant thrombotic microangiopathy. METHODS: Case report. RESULTS: An 8-year-old boy with a medical history of orthotopic heart transplant, posttransplant lymphoproliferative disease, and recurrent infections was hospitalized for nausea, vomiting, and diarrhea. His ocular history included accommodative esotropia, hyperopia with astigmatism, Molluscum contagiosum lid lesions, and idiopathic intracranial hypertension...
October 13, 2016: European Journal of Ophthalmology
Shu Min Tang, Rachel Y T Chan, Shi Bin Lin, Shi Song Rong, Henry H W Lau, Winnie W Y Lau, Wilson W K Yip, Li Jia Chen, Simon T C Ko, Jason C S Yam
This systematic review and meta-analysis is to evaluate the risk of development of concomitant strabismus due to refractive errors. Eligible studies published from 1946 to April 1, 2016 were identified from MEDLINE and EMBASE that evaluated any kinds of refractive errors (myopia, hyperopia, astigmatism and anisometropia) as an independent factor for concomitant exotropia and concomitant esotropia. Totally 5065 published records were retrieved for screening, 157 of them eligible for detailed evaluation. Finally 7 population-based studies involving 23,541 study subjects met our criteria for meta-analysis...
October 12, 2016: Scientific Reports
Aubrey L Gilbert, Euna B Koo, Gena Heidary
Acute acquired comitant esotropia (AACE) is characterized by a sudden-onset eye misalignment with an equal angle of deviation in all fields of gaze. This form of esotropia is distinct from common forms of childhood esotropia, such as infantile esotropia and accommodative esotropia, in the rapid tempo and typically later timing of onset; further, AACE is distinct from restrictive or paretic strabismus, which usually results in an incomitant angle of deviation that varies with the direction of gaze. The underlying etiologies for AACE are broad but, in some cases, it may be associated with significant neurologic disease...
October 11, 2016: Seminars in Ophthalmology
Preeti Patil-Chhablani, Krishnapriya Kothamasu, Ramesh Kekunnaya, Virender Sachdeva, Vivek Warkad
PURPOSE: To evaluate the surgical outcome of augmented superior rectus transposition (SRT) and medial rectus recession (MRc) in patients with abducens nerve palsy. METHODS: The medical records of consecutive patients with abducens nerve palsy who underwent unilateral or bilateral simultaneous SRT with MRc from January 2012 to December 2014. Patients with previous strabismus surgery or botulinum toxin injection were excluded. Primary outcome measures were esotropia in primary position and abduction deficit...
October 7, 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Tiana Y Clark, Robert A Clark
Orbital connective tissue normally loses strength and rigidity during aging. The lateral rectus pulley that surrounds and directs the lateral rectus path has the flimsiest support and can sag too far inferiorly, resulting in significantly reduced abducting force and secondary esotropia. This displacement is worsened by a weakened lateral rectus-superior rectus band from high myopia. Augmented medial rectus recessions can correct the esotropia, but long-term results may be less predictable because the underlying anatomic abnormality, the sagging lateral rectus muscle, has not been addressed...
September 22, 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Deniz Somer, Fatma Gul Cinar, Ahmet Kaderli, Firdevs Ornek
PURPOSE: To discuss surgical intervention strategies and innervation among patients with horizontal gaze palsy with concurrent esotropia. METHODS: Five consecutive patients with dorsal pontine lesions are presented. Each patient had horizontal gaze palsy with symptomatic diplopia as a consequence of esotropia in attempted primary gaze and an anomalous head turn to attain single binocular vision. RESULTS: Clinical findings in the first 2 patients led us to presume there was complete loss of rectus muscle function from rectus muscle palsy...
September 17, 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Heba M Fouad, Mohamad A Abdelhakim, Ahmed Awadein, Hala Elhilali
PURPOSE: To compare the outcomes of medial rectus (MR) muscle pulley fixation and augmented recession in children with convergence excess esotropia and variable-angle infantile esotropia. METHODS: This was a prospective randomized interventional study in which children with convergence excess esotropia or variable-angle infantile esotropia were randomly allocated to either augmented MR muscle recession (augmented group) or MR muscle pulley posterior fixation (pulley group)...
September 16, 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
Xi Wang, Bingjie Chen, Longqian Liu
PURPOSE: To report a patient with cyclic esotropia with a high accommodative convergence to accommodation (AC/A) ratio after surgical correction of intermittent exotropia who was found to have bilateral anomalous medial rectus muscle insertion sites. METHOD: A 5-year-old girl developed intermittent esotropia on alternating days after undergoing bilateral lateral rectus recessions for correction of intermittent exotropia. Alternate prism and cover measurement of ocular alignment and binocular function was assessed on consecutive days...
September 15, 2016: International Ophthalmology
A Atili, E Singer, L Wörz, N Olschewski
Purpose: To evaluate a dose-response relationship by using Yokoyama procedure we compared a group of inhomogeneous cases with esohypotropia (EHT) associated with high myopia. Methods: We did a retrospective analysis of 7 cases with EHT associated with high myopia, who underwent Yokoyama procedure between 2014 and 2015. Pre- and postoperative orthoptic measurements as well as measurements of axial length were recorded. Results: The average age ranged from 59.5 ± 2.8 (SD) years. The mean value of axial lengths was 32...
September 13, 2016: Klinische Monatsblätter Für Augenheilkunde
Robert P Rutstein, Sarah D Lee, David R Zimmerman
No abstract text is available yet for this article.
September 5, 2016: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
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
Eric Y Kim, Gill Roper-Hall, Oscar A Cruz
PURPOSE: To report one surgeon's experiences with bilateral lateral rectus resections in dysthyroid ophthalmopathy patients with residual esotropia after initial bilateral medial rectus recession. DESIGN: Retrospective interventional case series evaluating outcomes. METHODS: Medical records for patients with dysthyroid ophthalmopathy who underwent bilateral lateral rectus resections for persistent esotropia by a single surgeon from June 2012 to June 2015 were retrospectively reviewed...
August 30, 2016: American Journal of Ophthalmology
L J Hou, X M Wu, R Zhuo, F Zhang, F Lyu
OBJECTIVE: To evaluate the application of anterior segment optical coherence tomography (ASOCT) in surgical design for residual horizontal strabismus patients. METHODS: This article was a retrospective case series analysis. Total 20 residual strabismus patients (13 with residual exotropia and 7 with residual esotropia) in Eye Hospital of Wenzhou Medical University from Jan 2009 to Jan 2011 were studied. Routine strabismus examinations were completed preoperatively...
August 2016: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
L H Wang
In this paper, some typical excessive medical problems in the treatment of common eye diseases in children were listed as follows: unnecessary examinations carried out for children with little or no corresponding complaints; prescription for spectacles for physiological hyperopia or astigmatism in children; over-diagnosis, over-or nonstandard-treatment for amblyopia; strabismus surgeries performed in children with esotropia but without full optical correction of hyperopic refractive error, in children with monocular strabismus and amblyopia but without standard cover therapy, in children with intermittent exotropia but without optical correction of myopic refractive errors and myopic anisometropia, and without evaluation of their fusional control ability; exaggerated the harm of myopia and the curative effect of Orthokeratology contact lenses without considering the patient's compliance; cataract surgery performed in infants with partial opacity of the lens that has little effect on the vision...
August 2016: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
Priyanka Singh, Perumalsamy Vijayalakshmi, Shashikant Shetty, Priyanka Vora, Suresh Kalwaniya
PURPOSE: To study the binocular alignment and ocular motility in patients with large-angle esotropia due to sixth nerve palsy treated with double augmented vertical recti transposition. METHODS: This was a prospective interventional study. Fifteen patients with non-resolving sixth nerve palsy who underwent surgical correction were included in the study. Fourteen patients also underwent an additional medial rectus recession. Two patients with an associated small vertical deviation had a selective augmentation of one vertical rectus muscle...
August 18, 2016: Journal of Pediatric Ophthalmology and 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
Soh-Eun Ahn, Suk-Gyu Ha, Seung-Hyun Kim
PURPOSE: To compare the amount of esotropia corrected by surgery under general anesthesia and in a conscious state in esotropia surgery. METHODS: The charts of 42 patients who underwent surgery under general anesthesia for correction of esotropia were reviewed. Angle of deviation was measured by the alternate prism cover test in awakened state one day before and after surgery. Under general anesthesia, angle of deviation was measured by Hirschberg or Krimsky test in 5 prism diopters (PD) scale 30 minutes after induction and at the end of the surgery...
August 17, 2016: Seminars in Ophthalmology
Sherry J Bass, Jacqueline Westcott, Jerome Sherman
PURPOSE: The prognosis of success with vision therapy in refractive "amblyopia" associated with the syndrome of myelinated nerve fibers (MRNF), optic disc hypoplasia, and myopia is reported to be poorer than that of anisomyopic amblyopia without these features. The reason for the poorer prognosis has not been well understood. The purpose of this study was to perform spectral domain (SD) ocular coherence tomography (OCT) to determine if there is a structural etiology that may explain the poorer prognosis...
October 2016: Optometry and Vision Science: Official Publication of the American Academy of Optometry
Gustavo Savino, Edoardo Abed, Maria Teresa Rebecchi, Maria Spreca, Costanza Tredici, Anna Dickmann
OBJECTIVE: To assess and compare sensory-motor status and clinical features of type I and type II acute acquired concomitant esotropia (group A) and decompensated monofixation syndrome (group B). METHODS: In a retrospective, comparative study, 26 patients with a confirmed postoperative diagnosis of type I and II acute acquired concomitant esotropia and monofixation syndrome were enrolled. The 2-tailed unpaired t test and 2-tailed χ(2) test were performed to compare angle of deviation and sensory-motor status under the environmental conditions and after prismatic adaptation test and progressive prism test of 2 groups...
August 2016: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
Michela Fresina, Giuseppe Giannaccare, Piera Versura, Emilio C Campos
INTRODUCTION: Acute acquired distance esotropia (AADE) is a poorly understood moderate-angle strabismus, affecting young adult myopes and determining bothersome diplopia. Symptoms can be intermittent in the early stages, becoming constant in long-lasting disease. Symptomatic therapy includes prism correction, while surgery is the only curative treatment. However, the latter is affected by high rate of symptoms recurrence with the frequent need for reoperation. HYPOTHESIS: We hypothesize that AADE could be caused by the increase of the accommodative demand, often secondary to a myopic overcorrection...
September 2016: Medical Hypotheses
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