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https://www.readbyqxmd.com/read/28315737/botulinum-toxin-as-an-adjunct-to-monocular-recession-resect%C3%A4-on-surgery-for-large-angle-sensory-strabismus
#1
Betül Tuğcu, Eda Sönmezay, Fadime Nuhoğlu, Hakan Özdemir, Seyhan Bahar Özkan
PURPOSE: To evaluate the result of using intraoperative botulinum toxin A (BTA) as an adjunct to monocular recession-resection surgery in the management of large-angle sensory strabismus. METHODS: The medical records of patients diagnosed with sensory strabismus with constant large-angle strabismus were reviewed retrospectively to identify those who underwent monocular recession-resection surgery combined with 5 units of BTA injection into the recessed muscle of the nonfixating eye...
March 15, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28315403/wright-central-plication-of-lateral-rectus-versus-standard-medial-rectus-recession-in-adult-divergence-insufficiency-esotropia
#2
Wright W Kenneth, Giulia Corradetti
PURPOSE: Wright central plication is a minimally invasive tightening procedure described for the first time by Wright and colleagues in 2012. We compare outcomes of lateral rectus central plication (LRCP) to medial rectus recession (MRR) in the treatment of adult divergence insufficiency esotropia (ADIE). METHODS: A retrospective chart review of 30 consecutive patients with ADIE, who underwent either LRCP or MRR between 2010 and 2015 was performed. INCLUSION CRITERIA: age ≥ 45 years, LRCP or MRR surgery fixed suture technique, esotropia (ET) at least 10(Δ) greater at distance than at near, subjective diplopia at distance, fusion at near fixation, follow-up of at least 6 months...
March 14, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28286308/bilateral-medial-rectus-resection-for-primary-large-angle-exotropia
#3
Amr A ElKamshoushy
BACKGROUND: Surgical treatments for large-angle exotropia include bilateral lateral rectus recession, recession-resection procedures, and 3- and 4-muscle surgery. Undercorrection and limitation of abduction are common complications of these procedures. This study reports the results of bilateral medial rectus resection as a first procedure for primary large-angle exotropia. METHODS: The medical records of patients that underwent bilateral medial rectus resection for angles ≥60(Δ) in the period from 2006 till 2016 with a minimum follow-up period of 6 months were reviewed retrospectively...
March 9, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28254627/inferior-rectus-transposition-a-novel-procedure-for-abducens-palsy
#4
Federico G Velez, Melinda Y Chang, Stacy L Pineles
PURPOSE: Superior rectus transposition (SRT) has been popularized for the treatment of abduction deficiencies. Potential complications include induced vertical deviation and torsion. A new procedure, the inferior rectus transposition (IRT) may be similarly beneficial for patients at risk for post-operative vertical deviation or incyclotropia. The purpose of this study is to describe the outcomes of patients undergoing IRT. DESIGN: Prospective, interventional case series METHODS: Five patients in an academic pediatric ophthalmology and strabismus practice with a complete lateral rectus palsy who underwent IRT were studied...
February 27, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28253424/botulinum-toxin-for-the-treatment-of-strabismus
#5
REVIEW
Fiona J Rowe, Carmel P Noonan
BACKGROUND: The use of botulinum toxin as an investigative and treatment modality for strabismus is well reported in the medical literature. However, it is unclear how effective it is in comparison to other treatment options for strabismus. OBJECTIVES: The primary objective was to examine the efficacy of botulinum toxin therapy in the treatment of strabismus compared with alternative conservative or surgical treatment options. This review sought to ascertain those types of strabismus that particularly benefit from the use of botulinum toxin as a treatment option (such as small angle strabismus or strabismus with binocular potential, i...
March 2, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28249714/outcomes-after-superior-rectus-transposition-and-medial-rectus-recession-versus-vertical-recti-transposition-for-sixth-nerve-palsy
#6
Yeon-Hee Lee, Scott R Lambert
PURPOSE: To compare the effectiveness of superior rectus transposition and medial rectus recession (SRT/MRc) versus inferior and superior rectus transposition (VRT) for acquired sixth nerve palsy. DESIGN: Consecutive, interventional case series METHODS: The medical records of a consecutive series of patients with acquired sixth nerve palsy who underwent VRT or SRT/MRc by a single surgeon were reviewed. The pre- and postoperative findings were compared between the two groups...
February 26, 2017: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/28237148/slipped-extraocular-muscles-characteristics-and-surgical-outcomes
#7
Christiane Al-Haddad, Maamoun Abdul Fattah
OBJECTIVE: To study the frequency and characteristics of slipped extraocular muscles after strabismus surgery and report the postoperative outcomes longitudinally. DESIGN: Retrospective chart review. PARTICIPANTS: Electronic medical records of 493 patients who underwent strabismus surgery and were found to have a slipped muscle intraoperatively were reviewed. METHODS: Records were retrieved and operative reports were screened for the presence of slipped muscles...
February 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/28229342/the-prevalence-and-types-of-strabismus-and-average-of-stereopsis-in-japanese-adults
#8
Toshiaki Goseki, Hitoshi Ishikawa
PURPOSE: Few studies report the prevalence and types of strabismus, or average of stereopsis in Japanese adults. We performed ophthalmological evaluation including motility and stereopsis during medical examinations at cooperative companies. METHODS: We studies 1214 volunteers. The average age was 41.2 ± 12.6 (range 20-86) years. Examinations were carried out using their customary eyewear, evaluating alternate prism cover test (APCT), and Titmus stereo test (TST)...
February 22, 2017: Japanese Journal of Ophthalmology
https://www.readbyqxmd.com/read/28220248/-prism-adaptation-test-before-strabismus-surgery-results-of-a-survey-and-literature-review
#9
U Pichler, M Rohleder, O Ehrt
BACKGROUND: Variable preoperative deviations and compensatory mechanisms may cause wrong dosage of strabismus surgery and result in over- or undercorrection. A long-lasting prism adaptation test (PAT) before surgery is supposed to reduce those difficulties and to improve the postoperative results. To date, the use of prism adaptation before surgery has not been systematically examined. METHODS: A total of 15 strabismologists and 28 orthoptists in Austria were interviewed about their approach to prism adaptation in 9 types of strabismus...
February 20, 2017: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/28213087/a-rare-case-of-bruns-syndrome-with-bilateral-superior-oblique-palsy-and-dorsal-midbrain-syndrome
#10
Rebika Dhiman, Medha Sharma, Anin Sethi, Sanjay Sharma, Atin Kumar, Rohit Saxena
We report a case of an 11-year-old boy referred for evaluation of esotropia associated with a 4-year history of intermittent headaches and vomiting triggered by sudden movements, such as sneezing and coughing. Magnetic resonance imaging (MRI) performed 3 years previously was reported to be normal. A thorough clinical examination revealed the clinical features of Dorsal midbrain syndrome with Bruns syndrome and bilateral superior oblique palsy. Advanced MRI sequences revealed a freely mobile intraventricular cysticercus causing obstructive panhydrocephalus...
February 14, 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28195058/an-optokinetic-clue-to-the-pathogenesis-of-crossed-fixation-in-infantile-esotropia
#11
Michael C Brodsky, Lindsay D Klaehn
No abstract text is available yet for this article.
February 2017: Ophthalmology
https://www.readbyqxmd.com/read/28188406/comparative-study-of-plication-recession-versus-resection-recession-in-unilateral-surgery-for-intermittent-exotropia
#12
Yugo Kimura, Tohru Kimura
PURPOSE: Plication is a muscle-strengthening procedure in which a muscle is not dissected from its point of insertion. The purpose of this study was to compare the results of plication-recession (PR) with those of resection-recession (RR) in adult patients with intermittent exotropia (XT). METHODS: Patients with XT who underwent either PR or RR with a minimum postoperative follow-up of 12 months were retrospectively reviewed. Postoperative mean distance deviation and surgical outcomes were compared at 1 week and at 1, 3, 6, and 12 months, and at the final follow-up...
February 10, 2017: Japanese Journal of Ophthalmology
https://www.readbyqxmd.com/read/28182149/anterior-segment-ischemia-after-strabismus-surgery
#13
Emine Seyhan Göçmen, Yonca Atalay, Özlem Evren Kemer, Hikmet Yavuz Sarıkatipoğlu
A 46-year-old male patient was referred to our clinic with complaints of diplopia and esotropia in his right eye that developed after a car accident. The patient had right esotropia in primary position and abduction of the right eye was totally limited. Primary deviation was over 40 prism diopters at near and distance. The patient was diagnosed with sixth nerve palsy and 18 months after trauma, he underwent right medial rectus muscle recession. Ten months after the first operation, full-thickness tendon transposition of the superior and inferior rectus muscles (with Foster suture) was performed...
January 2017: Turkish Journal of Ophthalmology
https://www.readbyqxmd.com/read/28182120/sagging-eye-syndrome-or-nemaline-rod-myopathy-divergence-insufficiency-with-levator-dehiscence-as-an-overlapping-symptom-between-two-diagnoses
#14
Stephanie S L Cheung, Larissa K Ghadiali, Thomas H Brannagan Iii, Gul Moonis, Phyllis L Faust, Jeffrey G Odel
A 78-year-old woman complained of gradual, painless onset of horizontal binocular diplopia associated with progressive axial weakness. Physical examination revealed esotropia that was greater at distance than at near vision, bilateral levator dehiscence, and normal abducting saccadic speeds. Given the age of the patient and compatible clinical findings, the diagnosis of Sagging Eye Syndrome (SES) was made. However, further work-up with a muscle biopsy suggested Sporadic Late-Onset Nemaline Myopathy (SLONM) as the cause of her progressive muscle weakness...
2017: Case Reports in Ophthalmological Medicine
https://www.readbyqxmd.com/read/28167284/isolated-pseudoabducens-palsy-in-acute-thalamic-stroke
#15
Mehdi Ghasemi, Nazish Riaz, Anna Bjornsdottir, David Paydarfar
Oculomotor abnormalities are rarely noted in thalamic strokes. We describe isolated right pseudoabducens palsy in a young patient with acute left thalamic infarction revealed by diffusion-weighted magnetic resonance imaging. The patient's horizontal diplopia and oculomotor palsy resolved within 3days. This case supports the hypothesis that a lesion can cause isolated esotropia by interrupting descending inhibitory convergence pathways that traverse the paramedian thalamus and decussate in the subthalamic region to innervate the contralateral third oculomotor nucleus...
February 1, 2017: Clinical Imaging
https://www.readbyqxmd.com/read/28144890/progressive-retinal-degeneration-in-a-girl-with-knobloch-syndrome-who-presented-with-signs-of-ocular-albinism
#16
Libe Gradstein, Ronald M Hansen, Gerald F Cox, Pablo Altschwager, Anne B Fulton
PURPOSE: We report for the first time electroretinographic (ERG) evidence of progressive retinal abnormalities in a girl who presented in infancy with ocular features of albinism and gradually developed choroidal sclerosis and patchy retinal atrophy leading to a diagnosis of Knobloch syndrome (KS, OMIM 267750, COL18A1). METHODS: At age 2 months, nystagmus and esotropia prompted ophthalmic evaluation. The appearance of choroidal sclerosis and atrophic retinal patches led to further evaluation at age 8 years...
January 31, 2017: Documenta Ophthalmologica. Advances in Ophthalmology
https://www.readbyqxmd.com/read/28108347/combined-recession-and-resection-surgery-in-the-management-of-convergence-excess-esotropia-with-different-levels-of-ac-a-ratio
#17
Deniz Somer, Fatma Gul Cinar, Baris Oral, Firdevs Ornek
PURPOSE: To study prospectively the effect of extirpating the proprioceptive impulse at the myotendinous junction combined with recession of the medial rectus muscles in patients with convergence excess esotropia. METHODS: A total of 21 patients with different sizes of AC/A ratios (high, 8; normal, 12; low, 1) underwent a surgical procedure consisting of combining resection of 2.5 mm of the insertional end of the medial rectus muscles with recession from the original insertion, based on the patient's angle of esotropia at 1/3 m while wearing full cycloplegic refraction, with an additional recession of 1 mm for each rectus muscle based on current surgical tables...
February 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28108346/medial-rectus-pulley-posterior-fixation-for-esotropia-with-a-high-ac-a-ratio
#18
Tiana Y Clark, Robert A Clark
No abstract text is available yet for this article.
February 2017: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/28104501/esotropia-with-an-accommodative-component-after-surgery-for-infantile-esotropia-compared-to-primary-accommodative-esotropia
#19
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...
February 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
#20
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
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