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Esotropia

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https://www.readbyqxmd.com/read/28104501/esotropia-with-an-accommodative-component-after-surgery-for-infantile-esotropia-compared-to-primary-accommodative-esotropia
#1
Kyung-Ah Park, Sei Yeul Oh
PURPOSE: To compare the clinical outcomes of patients with an esotropia with an accommodative component after infantile esotropia surgery and patients with primary refractive accommodative esotropia. METHODS: The medical records of patients with postoperative (secondary group) and primary refractive accommodative esotropia (primary group) were reviewed retrospectively. Changes in ocular alignment, refractive error, weaning rate, decompensation rate over time, and sensory outcomes were compared...
January 16, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28092393/surgical-treatment-of-adult-onset-esotropia-characteristics-and-outcomes
#2
Sara F Grace, Kara M Cavuoto, Wei Shi, Hilda Capo
PURPOSE: To describe the characteristics of the strabismus, surgical management, and outcomes of patients who underwent surgery for adult-onset esotropia. METHODS: This was a retrospective case study of patients at an academic tertiary referral center who underwent surgical treatment of esotropia acquired at or after age 18 years. Primary outcome measures were resolution of diplopia in primary position and a deviation of 10 prism diopters or less in primary gaze...
January 13, 2017: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28089744/predictors-of-surgical-success-in-patients-with-intermittent-exotropia
#3
Di Zou, Clémentine Casafina, Alex Whiteman, Saurabh Jain
BACKGROUND: In patients with moderate- to large-angle exotropic deviations, surgical correction remains the definitive treatment. The purpose of this study was to identify preoperative factors that correlate with surgical success and to produce a binomial model that predicts success based on preoperative factors. METHODS: We performed a retrospective review of patients with intermittent exotropia who underwent uniocular recession-resection surgery. Success was defined as ocular deviation ≤10(Δ) exotropia and ≤5(Δ) esotropia at distance at last follow-up (at least 3 months' postoperatively)...
January 9, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28057455/comparison-of-botulinum-toxin-with-surgery-for-the-treatment-of-acute-onset-comitant-esotropia-in-children
#4
Michael J Wan, Iason S Mantagos, Ankoor S Shah, Melanie Kazlas, David G Hunter
PURPOSE: To determine whether botulinum toxin is as effective as strabismus surgery in the treatment of acute-onset, comitant esotropia in children. DESIGN: Retrospective, non-randomized, comparative clinical study. METHODS: Setting: Tertiary care pediatric hospital. STUDY POPULATION: 49 children with acute-onset, comitant esotropia. INTERVENTION: Treatment with either botulinum toxin ("chemodenervation group") or standard incisional strabismus surgery ("surgery group")...
January 2, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28031397/electrical-stimulation-of-superior-colliculus-affects-strabismus-angle-in-monkey-models-for-strabismus
#5
Suraj Upadhyaya, Hui Meng, Vallabh E Das
Disruption of binocular vision during the critical period for development leads to eye misalignment in humans and in monkey models. We have previously suggested that disruption within a vergence circuit could be the neural basis for strabismus. Electrical stimulation in the rostral superior colliculus (rSC) leads to vergence eye movements in normal monkeys. Therefore the purpose of this study was to investigate the effect of SC stimulation on eye misalignment in strabismic monkeys. Electrical stimulation was delivered to 51 sites in the intermediate and deep layers of the SC (400Hz, 0...
December 28, 2016: Journal of Neurophysiology
https://www.readbyqxmd.com/read/28018672/acute-acquired-comitant-esotropia-in-adults-is-it-neurologic-or-not
#6
Kadriye Erkan Turan, Tulay Kansu
Objectives. Acute acquired comitant esotropia (AACE) can be a diagnostic challenge for ophthalmologists and neurologists because of its association with neurological pathologies. Our study describes a series of adult patients with AACE of undetermined etiology. Methods. Data on the clinical findings of patients presented with AACE of undetermined etiology with a minimum follow-up of 1 year were retrieved from the medical records and the results analyzed. Results. A series of 9 esotropia cases (age range: 20-43 years) was reviewed...
2016: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28003983/essential-infantile-esotropia-with-inferior-oblique-hyperfunction-long-term-follow-up-of-6-muscles-approach
#7
Adriano Magli, Roberta Carelli, Elisabetta Chiariello Vecchio, Francesca Esposito, Luca Rombetto, Paolo Esposito Veneruso
AIM: To evaluate long term follow-up (10y) of 6 muscle surgical approach in essential infantile esotropia (EIE). METHODS: A 6 muscle approach to EIE was retrospectively evaluated in patients with inferior oblique (IO) hyperfunction and lateral rectus (LR) pseudoparalysis, who underwent surgery at different ages. Different clinical characters were analyzed pre- and postoperatively, in patients who underwent a 6 muscles approach ≤4 years of age. All patients underwent a multiple muscles approach: bilateral medial recti (MR) recession (4-5 mm), bilateral LR resection (lower than 7 mm) and bilateral IO recession and anteroposition...
2016: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/27977611/risk-factors-analysis-of-consecutive-exotropia-oblique-muscle-overaction-may-play-an-important-role
#8
Qianwen Gong, Hong Wei, Xu Zhou, Ziyuan Li, Longqian Liu
To evaluate clinical factors associated with the onset of consecutive exotropia (XT) following esotropia surgery.By a retrospective nested case-control design, we reviewed the medical records of 193 patients who had undergone initial esotropia surgery between 2008 and 2015, and had follow-up longer than 6 months. The probable risk factors were evaluated between groups 1 (consecutive XT) and 2 (non-consecutive exotropia). Pearson chi-square test and Mann-Whitney U test were used for univariate analysis, and conditional logistic regression model was applied for exploring the potential risk factors of consecutive XT...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27977037/a-high-prevalence-of-exotropia-in-patients-with-duane-retraction-syndrome-in-a-tertiary-eye-care-center-in-south-india
#9
Manjushree Bhate, Virender Sachdeva, Ramesh Kekunnaya
PURPOSE: To determine the prevalence and clinical characteristics of patients with Duane retraction syndrome presenting with exotropia in a tertiary eye care center. METHODS: Medical records of 140 patients with Duane retraction syndrome and exotropia (of the total 441 patients with Duane retraction syndrome) seen from 2000 to 2009 were reviewed. Characteristics studied included age at presentation, gender, laterality, manifest primary position, abnormal head posture, ocular motility, and overshoots...
December 8, 2016: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27960641/proparacaine-induced-mydriasis-during-strabismus-surgery
#10
Brijesh Takkar, Pradeep Sharma, Nripen Gaur, Ashutosh Kumar Singh, Rashmi Ramachandran
AIM: To evaluate the mydriatic effect of proparacaine hydrochloride (PH) in children undergoing strabismus surgery under general anesthesia (GA). METHODS: This was a pilot, prospective, non-randomized, self-controlled interventional study. Nine children with esotropia or exotropia undergoing horizontal muscle squint surgery under GA at a tertiary eye care center were included. The six Group 1 patients underwent both eye surgeries, while the three Group 2 patients underwent single eye surgery...
December 14, 2016: Seminars in Ophthalmology
https://www.readbyqxmd.com/read/27936115/long-term-changes-in-refractive-error-and-clinical-evaluation-in-partially-accommodative-esotropia-after-surgery
#11
Shin Yeop Oh, Ju-Yeun Lee, Kyung-Ah Park, Sei Yeul Oh
We investigate the changes in refractive error and clinical evaluation in partially accommodative esotropia(PAET) after surgery. A total of 68 patients PAET who received at least 2 years of follow-up after surgery were enrolled in this study. We performed a retrospective study in patients who underwent unilateral or bilateral medial rectus recession for a non-accommodative component of PAET between January 2005 and March 2013. Patients were divided into groups according to the presence of dominancy (dominant, non-dominant, alternative eye), and presence of amblyopia (amblyopic, fellow, normal eye)...
2016: PloS One
https://www.readbyqxmd.com/read/27929723/prevalence-and-risk-factors-of-strabismus-in-a-uk-multi-ethnic-birth-cohort
#12
Alison Bruce, Gillian Santorelli
PURPOSE: To determine the prevalence, types and early-life risk factors associated with strabismus in a multi-ethnic birth cohort of children aged 4-5 years in the first year of school. METHODS: Data were collected prospectively over a 3-year period (2012-2015) from children participating in the vision screening program provided by orthoptists and carried out in schools located in the city of Bradford, UK. Prevalence of strabismus was determined for 17,018 children aged 4 to 5 years...
December 2016: Strabismus
https://www.readbyqxmd.com/read/27858944/management-of-a-case-of-undercorrection-following-surgery-for-infantile-esotropia
#13
Patrick A DeRespinis, Gad Dotan, Michael Kipp, William P Madigan, Rudolph S Wagner
No abstract text is available yet for this article.
November 1, 2016: Journal of Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27821110/ocular-findings-in-patients-with-spastic-type-cerebral-palsy
#14
Myung Jin Park, Yung Ju Yoo, Chin Youb Chung, Jeong-Min Hwang
BACKGROUND: Refractive errors, strabismus, nystagmus, amblyopia, and cortical visual impairment are observed in 50 to 90 % of patients with cerebral palsy. Ocular abnormalities are known to differ according to cerebral palsy type, and spastic type has been reported to be more likely to be associated with ocular defects than the athetoid and ataxic types. METHODS: A retrospective review of medical records was performed on 105 consecutive children with spastic type of cerebral palsy who underwent ophthalmologic examination between July 2003 and March 2006...
November 8, 2016: BMC Ophthalmology
https://www.readbyqxmd.com/read/27817779/-identification-of-a-novel-jag1-mutation-in-a-family-affected-by-alagille-syndrome
#15
Ying Cheng, Shu-Tao Zhao, Li Guo, Mei Deng, Qing Zhou, Yuan-Zong Song
Alagille syndrome (ALGS) is an autosomal dominant disorder which is mainly caused by JAG1 gene mutation and can affect multiple systems including the liver, heart, eyes, skeleton and face. This paper reports the clinical and genetic features of an ALGS patient. A 2-year-and-9-month-old boy was referred to the hospital with the complaint of abnormal liver function and heart murmur discovered over two years. Jaundice of the skin and sclera was not observed. The child had a prominent forehead, left esotropia, depressed nasal bridge and micromandible...
November 2016: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
https://www.readbyqxmd.com/read/27815187/factors-associated-with-surgical-success-in-adult-patients-with-exotropia
#16
Eun Hye Jung, Seong-Joon Kim, Young Suk Yu
PURPOSE: To report the results of surgical treatment for intermittent or constant comitant exotropia in adults and to examine the factors associated with the surgical outcome. METHODS: The medical records of consecutive patients older than 18 years of age at the time of surgery for intermittent or constant comitant exotropia and with at least 1 year's follow-up were retrospectively reviewed. Surgical success was defined as postoperative esodeviation of <5(Δ), orthotropia, or exodeviation of <10(Δ)...
December 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27815186/strabismus-surgery-outcomes-in-the-infant-aphakia-treatment-study-iats-at-age-5-years
#17
Erick D Bothun, Michael J Lynn, Stephen P Christiansen, Stacey J Kruger, Deborah K Vanderveen, Dan E Neely, Scott R Lambert
PURPOSE: To report strabismus surgery frequency and outcomes after monocular infantile cataract surgery with or without IOL implantation. METHODS: The Infant Aphakia Treatment Study (IATS) is a randomized, multicenter clinical trial comparing treatment of aphakia with a primary IOL or contact lens in 114 infants with a unilateral congenital cataract. This report is a secondary outcome analysis of ocular motor data from IATS patients who underwent strabismus surgery prior to age 5 years...
December 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/27800244/effect-of-visual-acuity-on-the-surgical-outcomes-of-secondary-sensory-strabismus
#18
Kadriye Erkan Turan, Hande Taylan Şekeroğlu, Emin Cumhur Şener, Ali Şefik Sanaç
OBJECTIVES: To investigate the outcomes of secondary sensory strabismus surgery and to discuss the effect of visual acuity on success. MATERIALS AND METHODS: The medical records of patients with sensory strabismus who underwent recession-resection on the eye with vision loss were reviewed. Only patients with visual acuity of ≤0.2 in the operated eye were enrolled. Data including age at surgery, visual acuity, etiology of vision loss, preoperative and postoperative deviations, follow-up duration, and surgical outcomes were recorded...
December 2015: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/27799735/infantile-esotropia-risk-factors-associated-with-reoperation
#19
Adriano Magli, Luca Rombetto, Francesco Matarazzo, Roberta Carelli
The aim of this study was to identify clinical and demographic factors associated with misalignment after first surgery performed on children affected by infantile esotropia to evaluate the reoperation rate. A retrospective study was carried out, analyzing data from 525 children who underwent bilateral medial recti recession, bilateral lateral recti resection, and inferior oblique recession and anteroposition by the same surgeon (AM). Postoperative evaluation included assessment of motor alignment at approximately 3 months, 6 months, 1 year, and 5 years...
2016: Clinical Ophthalmology
https://www.readbyqxmd.com/read/27799577/high-ac-a-ratio-esotropia-do-we-really-need-to-be-using-bifocals
#20
Scott E Olitsky
INTRODUCTION AND PURPOSE: Most strabismus specialists use bifocals for patients with convergence excess esotropia whose distance deviation is small. While this is a popular treatment modality, there is actually no good data to indicate that this should be considered a standard of care. PATIENTS AND METHODS: In patients for whom the distance deviation is small enough to allow for the development of binocular vision, my preference is to simply observe these patients...
January 2016: American Orthoptic Journal
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