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https://www.readbyqxmd.com/read/29470973/long-term-surgical-outcomes-for-large-angle-infantile-esotropia
#1
Michael J Wan, Hedva Chiu, Ankoor S Shah, David G Hunter
PURPOSE: To report the long-term surgical outcomes for a cohort of children with large-angle, infantile esotropia. DESIGN: Multicenter, non-randomized clinical study METHODS: SETTING: Two tertiary-care pediatric hospitals. STUDY POPULATION: 88 children with large-angle (≥ 55 prism diopters), infantile esotropia. INTERVENTION: Surgical treatment of infantile esotropia. MAIN OUTCOME MEASURE: Success rate at final follow-up (postoperative deviation ≤10 prism diopters and no need for retreatment)...
February 19, 2018: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29463226/acquired-distance-esotropia-associated-with-myopia-in-the-young-adult
#2
Ke Zheng, Tian Han, Yinan Han, Xiaomei Qu
BACKGROUND: To describe the clinical features of acquired progressive esotropia, with a larger angle at distance than near, associated with myopia in young adults. METHODS: Eleven adults (ages ranging from 18 to 37 years) with constant or intermittent horizontal diplopia at distance were recruited. Subjective refraction, ocular alignment, fusional amplitudes and horizontal eye movements were measured at distance and near. RESULTS: Distance esotropia varied from 20 to 60 prism diopters (PD)...
February 20, 2018: BMC Ophthalmology
https://www.readbyqxmd.com/read/29452451/botulinum-toxin-for-the-treatment-of-cyclic-strabismus-in-children-three-case-reports
#3
Monika Wipf, Corinne Bok-Beaube, Anja Palmowski-Wolfe
Cyclic strabismus is a rare disease of unknown origin. If untreated, it leads to manifest strabismus with the risk of amblyopia in children. Treatment is generally surgical. Here we report on three children in whom cyclic esotropia was successfully treated with one bimedial injection of 5 IU Botox ® . All patients remained orthotropic with good stereo functions at the last follow-ups at 16, 11, and 8 months. Botulinum toxin offered a minimally invasive treatment option in these patients.
February 16, 2018: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/29426440/evaluation-and-surgical-outcome-of-acquired-nonaccommodative-esotropia-among-older-children
#4
Bo Li, Sapna Sharan
OBJECTIVE: To describe the presentation, clinical evaluation, work-up, surgical management, and surgical outcomes in children older than 8 years with spontaneous, comitant, acquired nonaccommodative esotropia (ANAET). DESIGN: Retrospective chart review. PARTICIPANTS: Children who underwent bilateral medial rectus recession surgery for ANAET with initial esotropia onset later than 8 years of age. METHODS: The medical records of children older than 8 years presenting with ANAET from 2009 to 2015 were retrospectively reviewed...
February 2018: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/29410195/optic-disk-contractility-in-morning-glory-disk-anomaly
#5
Sadasivan K Samyukta, Syed Mohideen Abdul Khader, Neelam Pawar, Meenakshi Ravindran, Yeramala C Venu Gopal Reddy, Rengappa Ramakrishnan
Morning glory disk anomaly is a nonhereditary, congenital optic disk dysplasia characterized by conical excavation of the posterior fundus with a central glial tuft and radial retinal vessels. We report the case of a 4-year-old girl who presented with esotropia, enophthalmos, no light perception, and afferent pupillary defect in her left eye; fundus examination revealed morning glory disk anomaly. Ultrasound B-scan showed axial length increasing in the left eye on consensual light exposure. Magnetic resonance imaging/ angiogram of the brain and orbits were within normal limits except for globe elongation posteriorly in the left eye...
January 31, 2018: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/29376230/anterior-segment-changes-during-accommodation-in-accommodative-esotropia
#6
Mustafa Koç, Hakan Halit Yaşar, Mehmet Murat Uzel, Salih Çolak, Irfan Durukan, Pelin Yılmazbaş
PURPOSE: To evaluate the anterior segment biometric parameters of non-accommodative and accommodative refractive accommodative esotropia (RAE). METHODS: Eighty-one eyes of 81 patients were included in this prospective, case-control study. The patients were divided into three groups as follows: the RAE group (n = 31), the hypermetropia group (n = 25), and the emmetropia group (n = 25). Measurements were obtained in the non-accommodative (0.0 diopters) and accommodative status (-5...
January 25, 2018: Korean Journal of Ophthalmology: KJO
https://www.readbyqxmd.com/read/29339065/accommodative-esotropia-treatment-plan-utilizing-simultaneous-strabismus-surgery-and-photorefractive-keratectomy
#7
H Sprague Eustis, Pulin Shah
PURPOSE: Accommodative esotropia is a common cause of acquired esotropia. Pathogenesis varies among patients but usually includes excessive hyperopia and a high accommodative convergence/accommodation ratio or tight medial recti. The present study reviews an individualized treatment plan combining photorefractive keratectomy (PRK) and strabismus surgery to correct these problems. DESIGN: This study is a retrospective, interventional case series. METHODS: Records for 15 patients who were treated for accommodative esotropia were reviewed...
January 12, 2018: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29336632/m%C3%A3-bius-syndrome-with-cardiac-rhabdomyomas
#8
Aimee Verner, Swati Agarwal-Sinha, Frank Yanfeng Han
BACKGROUND: Möbius syndrome is a rare congenital condition which presents not merely with 6th and 7th nerve palsies, but involves gaze paresis associated with craniofacial, limb, and other abnormalities. Heterogeneity is well known in patients with Möbius syndrome and rather than being of familial inheritance based on rare cases, it is much more recognized as a sporadic syndrome. We report an infant with features of congenital Möbius syndrome associated with cardiac rhabdomyomas in the absence of tuberous sclerosis...
January 16, 2018: Ophthalmic Genetics
https://www.readbyqxmd.com/read/29332227/accommodative-esotropia-the-state-of-the-art
#9
REVIEW
Andrea Lembo, Massimiliano Serafino, Marika Dello Strologo, Richard A Saunders, Rupal H Trivedi, Edoardo Villani, Paolo Nucci
PURPOSE: To review the state of the art of Accommodative Esotropia (AE) through careful study of what has been reported up to the point in literature. METHODS: A literature search was done on PubMed using key words including "Accommodative esotropia", "Infantile esotropia", "Strabismus" and "Accommodation". We systematically reviewed and critically appraised what has been written about AE and we tried to analyze that according to the current management of AE. RESULTS: Accommodative Esotropia (AE) is a form of strabismus characterized by convergent misalignment of the visual axes that can be associated with hyperopia and abnormal fusional divergence...
January 13, 2018: International Ophthalmology
https://www.readbyqxmd.com/read/29325387/-clinical-effects-of-pediatric-penetrating-keratoplasty-for-congenital-corneal-opacity
#10
S W Li, C Liu, T H Chen, J H Ning, T Zhang, F J Lyu, M Xu
Objective: To report the clinical results of pediatric penetrating keratoplasty (PKP) in patients under 3 years old with congenital corneal opacity. Methods: Retrospective study. Sixteen eyes of 12 patients who were treated with PKP in Aier Eye Hospital Group from June 2009 to December 2016 were enrolled in this study. All the patients were diagnosed as congenital corneal opacities: 8 cases (11 eyes) with Peter's anomaly I, 2 cases (3 eyes) with sclerocornea, and 2 cases (2 eyes) with corneal dermoid tumor combined with iris synechia...
December 11, 2017: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/29325383/-clinical-features-and-surgical-outcomes-of-acute-acquired-comitant-esotropia
#11
M Y Ren, Q Wang, L H Wang
Objective: To investigate the clinical features and surgical outcomes of patients with acute acquired concomitant esotropia (AACE) type Ⅱ(AACE-Ⅱ) and type Ⅲ (AACE-Ⅲ). Methods: Retrospective case series analysis. Medical records of consecutive patients who underwent strabismus surgery for AACE-Ⅱ and AACE-Ⅲ in Shandong Provincial Hospital affiliated to Shandong University between January 2011 and June 2016 with a minimum follow-up time of 3 months were collected. Each patient underwent a complete ophthalmological and orthoptic examination to exclude esotropia resulting from other reasons, and a systemic assessment to exclude AACE related to intracranial and systemic diseases...
December 11, 2017: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/29325381/-longterm-surgery-outcome-of-m%C3%A3-bius-syndrome
#12
J Cen, X L Kang, J Yu, L Y Dong, Y Wei, K X Zhao
Objective: To investigate clinical features and the long-term surgery results of Möbius syndrome patients. Methods: This investigation presents a retrospective study of Möbius syndrome in 7 children we found since 2009. All 7 patients had MRI scan, ocular alignment in primary position, the limitation of versions and ductions and forced duction under general anesthesia. Early surgery is done to the 7 esotropia children. The pre-operative and post-operative outcomes, including the ocular alignment, deviation measurements and ocular rotations, were evaluated and compared...
December 11, 2017: [Zhonghua Yan Ke za Zhi] Chinese Journal of Ophthalmology
https://www.readbyqxmd.com/read/29313409/adjustable-strabismus-surgery-under-topical-anesthesia-alignment-in-supine-vs-seated-position
#13
Pilar Merino Sanz Md PhD, Jorge Márquez Md, José Diogo Lourenço Md, Pilar Gómez De Liaño Md, Rosario Gómez De Liaño Md PhD, Cristina Vidal
PURPOSE: To compare ocular deviation in the operating room depending on whether the patient is in supine decubitus or seated after single-stage adjustable strabismus surgery under topical anesthesia. MATERIAL AND METHOD: We performed a prospective observational study of 30 patients with horizontal and/or vertical strabismus who underwent single stage adjustable strabismus surgery under topical anesthesia. Both distance and near deviation were evaluated before surgery, during surgery in both positions (seated and supine), and at 1 day, 1 month, and 3 months after surgery...
January 9, 2018: Strabismus
https://www.readbyqxmd.com/read/29299740/augmented-superior-rectus-transposition-procedure-in-duane-retraction-syndrome-compared-with-sixth-nerve-palsy
#14
Mohammadreza Akbari, Setareh Shomali, Arash Mirmohammadsadeghi, Masoud Aghsaei Fard
PURPOSE: Superior rectus transposition (SRT) with medial rectus recession has been used for the treatment of sixth nerve palsy and esotropic Duane retraction syndrome (DRS). The purpose of this study was to compare the results of augmented SRT (with scleral fixation) without medial rectus recession in DRS and sixth nerve palsy. METHODS: Patients with unilateral esotropic DRS (DRS group) and sixth nerve palsy were included in this prospective, comparative study and underwent SRT...
January 3, 2018: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/29297726/long-term-surgical-outcomes-in-the-sagging-eye-syndrome
#15
Zia Chaudhuri, Joseph L Demer
BACKGROUND/AIMS: Strabismus due to sagging eye syndrome (SES) caused by age-related connective tissue involution is now an established cause of diplopia in older people. High suspicion of the condition results in early recognition, often obviating extensive neurological investigations and enabling surgical correction of the strabismus. METHODS: This retrospective study reviewed surgical results in 93 patients (40 males) of average age 68 ± 12 years, who had small-angle strabismus due to SES, during the 20-year period 1994-2014...
January 3, 2018: Strabismus
https://www.readbyqxmd.com/read/29284428/unilateral-lateral-rectus-muscle-advancement-surgery-based-on-one-fourth-of-the-angle-of-consecutive-esotropia
#16
Jung Yup Kim, Soo Jung Lee
BACKGROUND: To evaluate the efficacy of unilateral lateral rectus muscle advancement surgery based on one-fourth of the angle of consecutive esotropia within 25 prism diopters (PD) occurring after bilateral lateral rectus muscle recession for intermittent exotropia. METHODS: Medical records of 11 patients who underwent unilateral lateral rectus muscle advancement for consecutive esotropia from 2011 to 2014 and who were observed for at least 6 months after surgery were retrospectively reviewed...
December 29, 2017: BMC Ophthalmology
https://www.readbyqxmd.com/read/29279026/cortical-visual-connections-via-the-corpus-callosum-are-asymmetrical-in-human-infantile-esotropia
#17
Marcel P M Ten Tusscher, Anne Cees Houtman, Johan De Mey, Peter Van Schuerbeek
PURPOSE: Besides chiasmal hemidecussation, interhemispheric connections are likely important in human binocularity. The corpus callosum (CC) is the major fiber bundle in the mammalian brain which mostly connects homologous cortical areas in the two hemispheres. Visual interhemispheric connections were found abnormal in strabismic cats. No studies have investigated these pathways in humans with infantile strabismus. METHODS: Diffusion tensor imaging was used in four subjects with infantile esotropia (IE) and nine control subjects with normal binocularity, in order to study interhemispheric fibers in the CC connecting the right and left primary visual cortical areas...
December 26, 2017: Strabismus
https://www.readbyqxmd.com/read/29260122/unusual-straatsma-syndrome-how-dogmatic-is-a-bad-prognosis
#18
Ana Vide-Escada, Helena Prior Filipe
Purpose: To show that Straatsma Syndrome can have a good outcome and to highlight an unusual presentation of this disease. Observations: A four-year-old boy presents with severe right eye amblyopia in association with high myopia, esotropia, heterochromia iridum and extensive myelinated retinal fibers involving both temporal arcades and the optic nerve head. Right eye initial visual acuity was less than 20/400 for distance and less than R6W10 for near. Left eye examination was unremarkable...
December 2017: American Journal of Ophthalmology Case Reports
https://www.readbyqxmd.com/read/29260082/resection-and-anterior-transposition-of-the-inferior-oblique-muscle-for-treatment-of-inferior-rectus-muscle-hypoplasia-with-esotropia
#19
Noriko Nishikawa, Haruna Ito, Yuriya Kawaguchi, Miho Sato, Akitoshi Yoshida
Purpose: To report a case of inferior rectus muscle hypoplasia with esotropia, which was treated successfully by resection and anterior transposition of the inferior oblique muscle. Observations: A 1-year-old boy presented with esotropia. He had esotropia of 15-30° and intermittent left hypertropia. At the age of 3 years, the alternate prism cover test showed esotropia of 35Δ and left hypertropia of 25Δ. Magnetic resonance imaging of the orbit revealed left inferior rectus muscle dysgenesis...
September 2017: American Journal of Ophthalmology Case Reports
https://www.readbyqxmd.com/read/29237498/vitreous-hemorrhage-and-rhegmatogenous-retinal-detachment-that-developed-after-botulinum-toxin-injection-to-the-extraocular-muscle-case-report
#20
Dong Hyun Lee, Jinu Han, Sueng-Han Han, Sung Chul Lee, Min Kim
BACKGROUND: The authors report a case of a rare complication that occurred after botulinum toxin injection to the extraocular muscle, which was easily overlooked and successfully corrected by surgery. CASE PRESENTATION: A 34-year-old female patient visited our clinic for diplopia and ocular motility disorder after removal of an epidermoid tumor of the brain. At her initial visit, her best-corrected visual acuity (BCVA) was 20/20 for both eyes. An alternate cover test showed 45 prism-diopter esotropia and 3 prism-diopter hypertropia in the right eye...
December 13, 2017: BMC Ophthalmology
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