By Arthur L. Rosenbaum MD, Alvina Pauline Santiago MD
Introducing a textual content that gives suggestions for the clinician within the review and administration of all sorts of strabismus in either adults and kids. targeting scientific administration, this article places into standpoint glossy diagnostic assessments, and discusses the variety of remedies on hand as soon as a case of strabismus has been evaluated. Covers either common and cutting edge surgical options by utilizing colour intraoperative photos. additionally discusses ideas of surgical administration and the various surgeries customary within the administration of those advanced difficulties.
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Additional info for Clinical Strabismus Management: Principles and Surgical Techniques
The slow recovery movement in the eye without the prism will not be seen, however, identifying it as the eye with foveal suppres sion (Fig. I —12). Four atypical responses in normal patients have been reported with this test28 45: ( I ) The eye without the prism makes no movement whereas the eye with the prism makes the expected nasally directed version movement. This occurs when version and vergence movements are equal but oppo site in direction in the eye without the prism or when the version movement in this eye is too small to be appreciated.
Normally, head tilting stimulates intorsion of one eye and extorsion of the other eye, allowing binocularity to be maintained. Right head tilt stimulates intorsion of the right eye (SR and SO) and extorsion of the left eye (IR and IO). Left head tilt does the opposite. If RHT increases on right tilt, the weak muscles could be the right SR or SO or the left IO or IR. If RHT increases on left tilt, the weak muscles could be the right IR or IO or the left SO or SR. The cyclovertical muscle palsy is identified by the one muscle identified by all three maneuvers.
Although uncommon, this may occur in children with esotropia. 42 The OKN drum can be used before pharmacologic cycloplegia to uncover an esotropic deviation (Kushner BJ. personal communication, 1997). The child fixes the vertically rotating stripes of the OKN drum. When adequate fixation is present (normal OKN response), the rotating drum is brought closer to the patient. An esotropia in either eye suggests a tendency toward esotropia, which may become manifest on subsequent examination. Other Tests Red Glass Test.