ADULT STRABISMUS: MYTHS AND REALITY. Todd A. Goldblum, MD Pediatric Ophthalmology & Strabismus
|
|
|
- Leslie Carter
- 5 years ago
- Views:
Transcription
1 ADULT STRABISMUS: MYTHS AND REALITY Todd A. Goldblum, MD Pediatric Ophthalmology & Strabismus
2 Myths: ADULT STRABISMUS: MYTHS AND REALITY 1. Amblyopia is only reversible in children 2. Adult strabismus surgery is only cosmetic and there are no functional benefits 3. Adult strabismus surgery has high risk of postoperative diplopia. 4. Surgery success in adults is lower than in children
3 ADULT STRABISMUS: When does the strabismus arise? 1. Childhood 2. New Onset Innervational stroke, MS, myasthenia, CNS tumours Mechanical (orbit problems) fractures, tumours, inflammation, thyroid
4 ADULT STRABISMUS What symptoms do adults with strabismus have? 1. None (if longstanding) 2. Diplopia (double vision) 3. Visual confusion 4. Asthenopia / Headache 5. Torticollis 6. Psycho-social function
5 ADULT STRABISMUS: MYTH 1 MYTH: AMBLYOPIA IS RESERVABLE ONLY IN SMALL CHILDREN REALITY: AMBLYOPIA TREATMENT CAN BE SUCCESSFUL IN OLDER CHILDREN AND YOUNG ADULTS BUT -- Not in all patients AND -- Not fully in most
6 ADULT STRABISMUS: MYTH 1 Evidence: Small case series over many years (Patients well into their 3rd and 4th decades) PEDIG studies (so far!)
7 An Evaluation of Treatment of Amblyopia in Children 7-<18 Years Old
8 Study Design Randomized, controlled multi-center clinical trial Sample size: >360 children (>90 in each of 4 age groups) Treatment groups: Control Group: Optical correction only Active Group: Optical correction Patching plus near activities Atropine (patients <13 yrs only) Primary analysis: Comparison of proportion of treatment responders between treatment groups
9 Results
10 ADULT STRABISMUS: MYTH 2 MYTH: ADULT STRABISMUS SURGERY IS ONLY COSMETIC AND THERE ARE NO FUNCTIONAL BENEFITS REALITY: IT IS NEVER COSMETIC SURGERY. IT RESTORES NORMAL FUNCTION AND ELIMINATES SYMPTOMS
11 Cosmetic = modifying a normal structure, beautifying one s appearance
12 Reconstructive / Restorative = changing an abnormal state to a normal or near normal one
13 FUNCTIONAL BENEFITS 1. Reduce or eliminate symptoms 2. Regain fusion (motor and/or sensory) 3. Normalize field of binocular vision 4. Gain psychosocial benefits 5. Positive cost-effective analysis
14 ADULT STRABISMUS: FUNCTIONAL BENEFITS 1. Reduce or eliminate symptoms
15 SYMPTOMS REPORTED IN LONGSTANDING STRABISMUS: AAPOS, 1999: 299 patients Diplopia Reading difficulties Eyestrain / headaches Driving difficulties Restricted visual field Problems with depth perception
16 SYMPTOMS REPORTED IN LONGSTANDING STRABISMUS: Improved or resolved after surgery: Diplopia 56 % Reading difficulties 57 % Eyestrain / headaches 60 % Driving difficulties 65 %
17 ADULT STRABISMUS: FUNCTIONAL BENEFITS 1. Reduce or eliminate symptoms 2. Regain fusion (motor and/or sensory)
18 REGAINING FUSION IN LONGSTANDING STRABISMUS: Kushner & Morton, 1992: 350 adults with longstanding strabismus If postop angle is under 10 PD: Over 80 % regained binocular vision
19 REGAINING FUSION IN LONGSTANDING STRABISMUS: Morris, Scott, & Dickey, adults with longstanding strabismus -- all realigned to within 8 PD All 24 showed peripheral fusion
20 REGAINING FUSION IN LONGSTANDING STRABISMUS: Ball, Drummond, & Pearce, adults with longstanding esotropia or exotropia Good vision in both eyes Postop: All regained 60 seconds of stereopsis or better
21 REGAINING FUSION IN LONGSTANDING STRABISMUS: Gill & Drummond, adults with longstanding strabismus Postop: 52 % regained stereopsis 76 % has resolution of symptoms
22 REGAINING FUSION IN LONGSTANDING STRABISMUS: Lal and Holmes, adults with longstanding strabismus and good vision in both eyes Postop (realigned to < 10 PD): 67 % regained stereopsis Can improve over several months
23 ADULT STRABISMUS: FUNCTIONAL BENEFITS 1. Reduce or eliminate symptoms 2. Regain fusion (motor and/or sensory) 3. Normalize field of binocular vision ( panorama of the binocular field)
24 30% Preop Field Postop Field
25 RESTORING THE STATIC FIELD OF BINOCULAR VISION: It is possible to restore the normal panorama of the static binocular field Wortham & Greenwald, patients with longstanding esotropia All showed expanded field after surgery
26 RESTORING THE STATIC FIELD OF BINOCULAR VISION: Kushner, adults with longstanding esotropia 34 of 35 showed expanded binocular field after surgery
27
28 CAN GAINS OCCUR IN PRESENCE OF AMBLYOPIA? Regaining of fusion and expansion of the static binocular field are NOT affected by: A) Direction of deviation (eso or exo) B) Duration of strabismus C) Presence of amblyopia Kushner & Morton, 1992 (350 adults) Kushner, 1994 (35 adults) Wortham & Greenwald, 1989 (10 adults)
29 ADULT STRABISMUS: FUNCTIONAL BENEFITS 1. Reduce or eliminate symptoms 2. Regain fusion (motor and/or sensory) 3. Normalize field of binocular vision 4. Gain psychosocial benefits
30 PSYCHOSOCIAL EFFECTS OF STRABISMUS SURGERY Satterfield, Keltner, & Morrison, adults with residual strabismus postop Showed measurable impact on: a) Self-image b) Interpersonal relationships c) Ability to secure employment d) Tendency to depression/anxiety
31 PSYCHOSOCIAL EFFECTS OF STRABISMUS SURGERY Burke, Leach, & Davis, adults undergoing surgery for longstanding strabismus Majority showed improved qualities of psychosocial functioning after surgical realignment.
32 PSYCHOSOCIAL EFFECTS OF STRABISMUS SURGERY Coats, Paysse, et al., 2000 Olitsky, Sudesh, et al., Large angle horizontal strabismus impacted negatively on hiring of applicants and on interpersonal perceptions
33 PSYCHOSOCIAL EFFECTS OF STRABISMUS SURGERY Coats, Paysse, et al., 2000 Olitsky, Sudesh, et al., Esotropia effect is worse than exotropia 3. Females more adversely affected than males
34 PSYCHOSOCIAL EFFECTS OF STRABISMUS SURGERY Archer, Musch, et al., 2005 Study of 98 children having strabismus surgery Successful realignment results in improved: 1. Social relations and acceptance in peer group 2. General health perceptions 3. Confidence in motor skills
35 ADULT STRABISMUS: FUNCTIONAL BENEFITS Functional Benefits : 1. Reduce or eliminate symptoms 2. Regain fusion (motor and/or sensory) 3. Normalize static field of binocular vision 4. Gain psychosocial benefits 5. Positive cost-effective analysis
36 COST-BENEFITS OF ADULT STRABISMUS SURGERY 1. Cost-Benefit Analysis : Calculates the cost of surgery per quality of life year (QALY) 2. Standard Visual Function testing (VF-14): Assesses the quality-of-life impact of a medical condition
37 COST-BENEFITS OF ADULT STRABISMUS SURGERY 1. Cost-Benefit Analyses (Beauchamp 2006) : For adult strabismus surgery: US $1600 / QALY (= very cost-effective) 2. VF-14 Questionnaire (Sabri et al 2006): Significant negative subjective and quantitative effects in strabismus and amblyopia
38 ADULT STRABISMUS: MYTH 3 MYTH: STRABISMUS SURGERY IN ADULTS OFTEN RESULTS IN POST-OP DIPLOPIA REALITY: CHRONIC DIPLOPIA RARELY OCCURS FOLLOWING SURGERY
39 IS THERE A HIGH RISK OF POSTOPERATIVE DIPLOPIA? White 1999, Kushner 2002 Risks: If no diplopia with prism offset: 0-3 % If diplopia with prism offset: 1-7 %
40 IS THERE A HIGH RISK OF POSTOPERATIVE DIPLOPIA? Mills 2004, Scott 1995 If no diplopia preop, the risk of diplopia postop if well aligned: 2-7 %
41 ADULT STRABISMUS: MYTH 4 MYTH: SURGERY IN ADULTS HAS A LOWER SUCCESS RATE THAN IN CHILDREN REALITY: SUCCESS RATES ARE EQUALLY GOOD Adults: % Children: % Mills 2004, Scott 1995, Eino 1997, Hertle 1998, Kushner 1992
42 Summary I m not having any double vision, so I ve been told that surgery is only cosmetic
43 Summary We can RESTORE binocular visual field and RESTORE fusion
44 Summary IMPROVE: self-image, interpersonal relations, job-discrimination
45 Summary You have a good success rate with extremely low risk of double vision
46 Summary The surgery is extremely cost-effective
Binocular Vision and Stereopsis Following Delayed Strabismus Surgery
Binocular Vision and Stereopsis Following Delayed Strabismus Surgery Davood Gharabaghi, MD 1, Minoo Azadeh, MD 2 Abstract Purpose: Patients with infantile or childhood strabismus who do not achieve visual
GOOD SENSORY OUTCOMES ARE REPORTED IN
Factors Influencing Stereoacuity Outcomes in Adults With Acquired Strabismus SHERRY L. FAWCETT, PHD, DAVID R. STAGER, SR, MD, AND JOOST FELIUS, PHD PURPOSE: Functional improvements of binocular vision
Treatment options for adult strabismus
REVIEW Treatment options for adult strabismus David R Stager Sr, David R Stager Jr & George R Beauchamp Author for correspondence Department of Ophthalmology, University of Texas Southwestern Medical Center,
Outcome of Strabismus Surgery by Nonadjustable Suture among Adults Attending a University Hospital of Saudi Arabia
[Downloaded free from http://www.njcponline.com on Monday, March 6, 7, IP: 65.55.65.] Original Article Outcome of Strabismus Surgery by Nonadjustable Suture among Adults Attending a University Hospital
Number: Last Review 06/23/2016 Effective: 09/25/2001 Next Review: 06/22/2017. Review History
1 of 8 Number: 0566 Policy Aetna considers strabismus repair medically necessary for adults 18 years of age or older only if both of the following criteria are met: Last Review 06/23/2016 Effective: 09/25/2001
Botulinum toxin treatment for early onset esotropia. Christopher Tinley Red Cross War Memorial Children s Hospital, Cape Town, South Africa
Botulinum toxin treatment for early onset esotropia Christopher Tinley Red Cross War Memorial Children s Hospital, Cape Town, South Africa Introduction 1) What is early-onset esotropia? 2) What is the
THE UTILITY OF STRABISMUS IN ADULTS
THE UTILITY OF STRABISMUS IN ADULTS BY George R. Beauchamp MD,* Joost Felius PhD, David R. Stager Sr MD, AND Cynthia L. Beauchamp MD ABSTRACT Purpose: To determine the utility (quality-of-life weight)
Eye (2013) 27, & 2013 Macmillan Publishers Limited All rights reserved X/13
(2013) 27, 1249 1253 & 2013 Macmillan Publishers Limited All rights reserved 0950-222X/13 www.nature.com/eye Improvement in patients quality-oflife following strabismus surgery: evaluation of postoperative
Author: Ida Lucy Iacobucci, 2015
Author: Ida Lucy Iacobucci, 2015 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution-NonCommercial-Share Alike 4.0 License: http://creativecommons.org/licenses/by-nc-sa/4.0/
The Effect of Successful Surgical Alignment on Improvement of Binocular Vision in Adults with Childhood Strabismus
The Effect of Successful Surgical Alignment on Improvement of Binocular Vision in Adults with Childhood Strabismus Dima Andalib, MD 1 Reza Nabie, MD 1 Bayan Poormohammad, MD 2 Abstract Purpose: To evaluate
Long-term Surgical Outcomes of Initial Postoperative Overcorrection in Adults with Intermittent Exotropia
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2018;32(3):228-233 https://doi.org/10.3341/kjo.2017.0064 Original Article Long-term Surgical Outcomes of Initial Postoperative Overcorrection in Adults
The consequences of strabismus and the benefits of adult strabismus surgery
Optometry in Practice 2016 Volume 17 Issue 3 121 130 The consequences of strabismus and the benefits of adult strabismus surgery Andrew T Astle, 1 Tom Foulsham 2 and Paul V McGraw 1 1 Visual Neuroscience
Is the frequency of adult strabismus surgery increasing?
Is the frequency of adult strabismus surgery increasing? Andrew T Astle* 1, Tom Foulsham 2, Alexander J Foss 3 & Paul V. McGraw 1 1. Visual Neuroscience Group, School of Psychology, University of Nottingham,
Management of Diplopia Indiana Optometric Association Annual Convention April 2018 Kristine B. Hopkins, OD, MSPH, FAAO
Management of Diplopia Indiana Optometric Association Annual Convention April 2018 Kristine B. Hopkins, OD, MSPH, FAAO For patients with diplopia, the clinician must differentiate monocular from binocular
Two years results of unilateral lateral rectus recession. on moderate intermittent exotropia
Received: 31.1.2007 Accepted: 28.10.2007 Two years results of unilateral lateral rectus recession on moderate intermittent exotropia Hossein Attarzadeh*, Alireza Zandi*, Kobra Nasrollahi**, Ali Akbar Mortazavi**
Esotropia - Exotropia. Carlos Eduardo Solarte MD. MPH Assistant Clinical Professor Director Residency Program Ophthalmology
Esotropia - Exotropia Carlos Eduardo Solarte MD. MPH Assistant Clinical Professor Director Residency Program Ophthalmology Financial Disclosure and Source I have no actual or potential financial interest
Clinical Study Early Results of Slanted Recession of the Lateral Rectus Muscle for Intermittent Exotropia with Convergence Insufficiency
Ophthalmology Volume 2015, Article ID 380467, 5 pages http://dx.doi.org/10.1155/2015/380467 Clinical Study Early Results of Slanted Recession of the Lateral Rectus Muscle for Intermittent Exotropia with
INFANTILE EXOTROPIA. Lionel Kowal
INFANTILE EXOTROPIA Lionel Kowal INFANTILE XT Usage often imprecise Variation in definitions number of investigators? onset day 1 of life? constant / intermittent Any / large angle? Associated systemic
THE OUTCOME OF STRABISMUS SURGERY IN CHILDHOOD EXOTROPIA
THE OUTCOME OF STRABISMUS SURGERY IN CHILDHOOD EXOTROPIA J. M. KEENAN and H. E. WILLSHAW Birmingham SUMMARY The results of squint surgery in 42 children with primary, non-paralytic, childhood are analysed.
Long-Term Surgical Outcome of Partially Accommodative Esotropia
Long-Term Surgical Outcome of Partially Accommodative Esotropia Kyle Arnoldi, C.O., C.O.M.T. ABSTRACT Partially accommodative esotropia is an acquired strabismus characterized by high hyperopia, a normal
15) PENCIL PUSH-UP THE ECONOMICAL AND EASY ANSWER TO SYMPTOMATIC CONVERGENCE INSUFFICIENCY ABSTRACT
15) PENCIL PUSH-UP THE ECONOMICAL AND EASY ANSWER TO SYMPTOMATIC CONVERGENCE INSUFFICIENCY Dr. Shiv S Malli, Dr.Suhani Desai, Dr. Chinmayi Vyas, Dr. Reema Raval, Dr. Nitin Trivedi, C.H. Nagri Municipal
Scott R. Lambert, M.D. Marla J. Shainberg, C.O. ABSTRACT INTRODUCTION
The Efficacy of Botulinum Toxin Treatment for Children with a Persistent Esotropia Following Bilateral Medial Rectus Recessions and Lateral Rectus Resections Scott R. Lambert, M.D. Marla J. Shainberg,
NIH Public Access Author Manuscript J AAPOS. Author manuscript; available in PMC 2006 April 25.
NIH Public Access Author Manuscript Published in final edited form as: J AAPOS. 2005 December ; 9(6): 542 545. The Effect of Amblyopia Therapy on Ocular Alignment Michael X. Repka, MD a, Jonathan M. Holmes,
Predictors of Postoperative Binocularity in Adult Strabismus
ELSEVIER Predictors of Postoperative Binocularity in Adult Strabismus Fumiko Umazume, Hiroshi Ohtsuki and Satoshi Hasebe Department of Ophthalmology, Okayama University Medical School, Okayama, Japan Abstract:
Author: Ida Lucy Iacobucci, 2015
Author: Ida Lucy Iacobucci, 2015 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution-NonCommercial-Share Alike 4.0 License: http://creativecommons.org/licenses/by-nc-sa/4.0/
Vertical Muscles Transposition with Medical Rectus Botulinum Toxin Injection for Abducens Nerve Palsy
JKAU: Med. Sci., Vol. 16 No. 2, pp: 43-49 (2009 A.D. / 1430 A.H.) DOI: 10.4197/Med. 16-2.4 Vertical Muscles Transposition with Medical Rectus Botulinum Toxin Injection for Abducens Nerve Palsy Nizar M.
Improved Ocular Alignment with Adjustable Sutures in Adults Undergoing Strabismus Surgery
Improved Ocular Alignment with Adjustable Sutures in Adults Undergoing Strabismus Surgery Monica S. Zhang, MD, 1 Amy K. Hutchinson, MD, 1 Arlene V. Drack, MD, 2 Julia Cleveland, MSPH, 3 Scott R. Lambert,
Medical Policy An independent licensee of the Blue Cross Blue Shield Association
Sensorimotor and Neurobehavioral Status Exams Page 1 of 5 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Sensorimotor and Neurobehavioral Status Exams for Optometric
JasonC.S.Yam, 1 Gabriela S. L. Chong, 2 Patrick K. W. Wu, 2 Ursula S. F. Wong, 2 Clement W. N. Chan, 2 and Simon T. C. Ko 2. 1.
BioMed Research International, Article ID 482093, 4 pages http://dx.doi.org/10.1155/2014/482093 Research Article Predictive Factors Affecting the Short Term and Long Term Exodrift in Patients with Intermittent
Double Vision as a Presenting Symptom in Adults Without Acquired or Long- Standing Strabismus
Double Vision as a Presenting Symptom in Adults Without Acquired or Long- Standing Strabismus Sara Shippman, C.O. Larisa Heiser, C.O. Kenneth R. Cohen, M.D., F.A.C.S. Lisabeth Hall, M.D. ABSTRACT Background:
INFANTILE ESOTROPIA (ET) THAT PERSISTS BEYOND 24
Pre-Operative Stability of Infantile Esotropia and Post-Operative Outcome EILEEN E. BIRCH, PHD, JOOST FELIUS, PHD, DAVID R. STAGER, SR, MD, DAVID R. WEAKLEY, JR, MD, AND RAIN G. BOSWORTH, PHD PURPOSE:
2. The clinician will know how to manage common pediatric ocular diseases
Ida Chung, OD, MSHE, FCOVD, FAAO Western University College of Optometry Associate Professor/Assistant Dean of Learning 309 E. Second Street, Pomona, CA 91766 Office: 909 938 4140 Email: ichung@westernu.edu
Botulinum Toxin A in Surgically Overcorrected and Undercorrected Strabismus
Botulinum Toxin A in Surgically Overcorrected and Undercorrected Strabismus Sorot Wutthiphan MD* *Department of Ophthalmology, Priest Hospital, Bangkok Objective: To evaluate the effectiveness and safety
T h e n e w e ng l a nd j o u r na l o f m e dic i n e
T h e n e w e ng l a nd j o u r na l o f m e dic i n e clinical practice Pediatric Strabismus Sean P. Donahue, M.D., Ph.D. This Journal feature begins with a case vignette highlighting a common clinical
HYPOTHESIS INTRODUCTION. Trans Am Ophthalmol Soc 2006;104:
THE INFLUENCE OF REFRACTIVE ERROR MANAGEMENT ON THE NATURAL HISTORY AND TREATMENT OUTCOME OF ACCOMMODATIVE ESOTROPIA (AN AMERICAN OPHTHALMOLOGICAL SOCIETY THESIS) BY BRADLEY CHARLES BLACK MD ABSTRACT Purpose:
Don t turn away from eye turns: How to approach strabismus with confidence
Don t turn away from eye turns: How to approach strabismus with confidence Yutaka Maki, O.D., M.S., F.C.O.V.D. maki@uiwtx.edu Course Description: This course gives a general guideline for referring a patient
Southampton Eye Unit. Orthoptic Induction Pack
Southampton Eye Unit Orthoptic Induction Pack 1 Orthoptics Orthoptics is an Allied Health Profession. It is a graduate profession with a 3 year degree course offered at Liverpool and Sheffield Universities,
CLINICAL SCIENCES. Intractable Diplopia After Strabismus Surgery in Adults
Intractable Diplopia After Strabismus Surgery in Adults Burton J. Kushner, MD CLINICAL SCIENCES Objectives: To investigate the incidence of persistent intractable diplopia in adults undergoing surgery
Facilitation of Amblyopia Management by Laser In situ Keratomileusis in Children with Myopic Anisometropia
Facilitation of Amblyopia Management by Laser In situ Keratomileusis in Children with Myopic Anisometropia Athens 2018 Amblyopia Amblyopia is a decrease in visual acuity in one eye due to abnormal visual
Pediatric Ophthalmology. Strabismus
Pediatric Ophthalmology Strabismus Strabismus is an eye alignment condition when both eyes do not look at the same point at the same time. Strabismus most often begins in early childhood. It is sometimes
Early Predict the Outcomes of Refractive Accommodative Esotropia by Initial Presentations
Original Article 887 Early Predict the Outcomes of Refractive Accommodative Esotropia by Initial Presentations Hui-Chun Lai, MD; Henry Shen-Lih Chen, MD; Yeong-Fong Chen, MD; Yih-Shien Chiang 1 ; Meng-Ling
Amblyopia 101: How to use Current Amblyopia Research in Clinical Practice
Amblyopia 101: How to use Current Amblyopia Research in Clinical Practice Valerie M. Kattouf O.D. Chief, Pediatric/Binocular Vision Service FAAO, FCOVD Illinois College of Optometry Associate Professor
Prism use in adult diplopia
REVIEW C URRENT OPINION Prism use in adult diplopia Kammi B. Gunton a and A sha Brown b Purpose of review Prismatic correction to restore binocularity in adult diplopia can be challenging. This review
KPA PFIZER EDUCATION GRANT
KPA PFIZER EDUCATION GRANT What every Paediatrician needs to know in Paediatric Ophthalmology Dr. Njambi Ombaba Paediatricians knowledge in ophthalmology Outline Visual development in a child Amblyopia
Strabismus. Nathalie Azar, MD Pediatric Ophthalmology for the Non-Ophthalmologist April 7, 2018 TERMINOLOGY:
Strabismus Nathalie Azar, MD Pediatric Ophthalmology for the Non-Ophthalmologist April 7, 2018 TERMINOLOGY: Strabismus comes from the Greek word Strabismos which means to squint. For accuracy when describing
THE SYMPTOM of diplopia can
Recently Acquired Diplopia in Adults With Long-standing Strabismus Burton J. Kushner, MD CLINICAL SCIENCES Background: The evaluation and management of recentonset diplopia in an adult with a history of
Strabismus. A.Medghalchi,M.D Assistant professor of ophthalmology Gilan medical science university
Strabismus A.Medghalchi,M.D Assistant professor of ophthalmology Gilan medical science university ۳ Anatomy Of The EOM s Six Extraocular muscles surround eye: Medial Rectus Lateral Rectus Superior Rectus
Amblyopia Definition 9/25/2017. Strabismic Amblyopia. Amblyopia 101: How to use Current Amblyopia Research in Clinical Practice
Amblyopia 101: How to use Current Amblyopia Research in Clinical Practice Valerie M. Kattouf O.D. Chief, Pediatric/Binocular Vision Service FAAO, FCOVD Illinois College of Optometry Associate Professor
Open Access Journal of Ophthalmology
Esotropia Anurag Narula 1 * and Shilpa Singh 2 1Safdarjung Hospital, VMMC, India 2Visitech Eye Centre, India *Corresponding author: Anurag Narula, Consultant, Safdarjung Hospital, Vardhman Short Communication
OUTCOME OF SURGICAL MANAGEMENT OF RESIDUAL AND RECURRENT ESOTROPIA.
OUTCOME OF SURGICAL MANAGEMENT OF RESIDUAL AND RECURRENT ESOTROPIA. ABDALLH M ALAMIN Department of ophthalmology faculty of medicine Al Azhar university ABSTRACT Aim This study: evaluates the outcome of
How would you explain and how would you get informed consent?
Q: Picture of child with esotropia, Primary, left + right gaze does not abduct either eye What is DDx? How would you examine ptn? How would you differentiate between bilateral 6 th and cross fixation?
How to avoid problems when managing patients with sensory strabismus.
How to avoid problems when managing patients with sensory strabismus. John J Sloper MA DPhil FRCS FRCOphth; Gillian G Adams FRCS(Ed) FRCOphth; Christine Timms DBO(T) Moorfields Eye Hospital, London Sensory
Type of strabismus and changes to fusion measures
Type of strabismus and changes to fusion measures Carla Costa Lança, PhD Lisbon School of Health Technology carla.costa@estesl.ipl.pt There is no actual or potential conflict of interest in relation to
Commissioning Policy Individual Funding Request
Commissioning Policy Individual Funding Request Surgical Correction of Strabismus or Amblyopia in Adults Prior Approval Policy Date Adopted: 19 th April 2017 Version: v1718.1 Individual Funding Request
STUDY OF ADULT STRABISMUS (SAS1)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 STUDY OF ADULT STRABISMUS (SAS1) A Prospective Observational Study of Adult Strabismus SAS1a: A Prospective Observational
M uch of the controversy that has arisen in
923... Series editors: Susan Lightman and Peter McCluskey What is the clinical problem? Children with a significant esotropia for near but a smaller or no deviation for distance. What is the controversy?
Paediatric Ophthalmology And Strabismus (Basic & Clinical Science Course) By M.E. Wilson READ ONLINE
Paediatric Ophthalmology And Strabismus (Basic & Clinical Science Course) By M.E. Wilson READ ONLINE If searched for a book by M.E. Wilson Paediatric Ophthalmology and Strabismus (Basic & Clinical Science
BANGERTER FOILS IN THE POSTOPERATIVE MANAGEMENT OF ESOTROPIA
Journal of IMAB ISSN: 1312-773X http://www.journal-imab-bg.org http://dx.doi.org/10.5272/jimab.2014206.547 Journal of IMAB - Annual Proceeding (Scientific Papers) 2014, vol. 20, issue 6 BANGERTER FOILS
Supplementary Online Content
Supplementary Online Content Gao TY, Guo CX, Babu RJ, et al; the BRAVO Study Team. Effectiveness of a binocular video game vs placebo video game for improving visual functions in older children, teenagers,
Measurement of Strabismic Angle Using the Distance Krimsky Test
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2013;27(4):276-281 http://dx.doi.org/10.3341/kjo.2013.27.4.276 Original Article Measurement of Strabismic Angle Using the Distance Krimsky Test Kwang
Think Outside the Box. Strabismus & Amblyopia. Prescribing. Amblyopia 5/9/2017. Goals of today s lecture: Kacie Monroe, OD, FCOVD. Peripheral Movement
Think Outside the Box Strabismus & Kacie Monroe, OD, FCOVD Goals of today s lecture: Define success in treatment Determine the best path to get there Spoiler: it may not be what you think Provide specific
A Valid Indication and the Effect of Bilateral Inferior Oblique Transposition on Recurrent or Consecutive Horizontal Deviation in Infantile Strabismus
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2017;31(2):138-142 https://doi.org/10.3341/kjo.2017.31.2.138 Original Article A Valid Indication and the Effect of Bilateral Inferior Oblique Transposition
Intermittent Exotropia, When to Recommend Glasses and When to Perform Surgery?
Med. J. Cairo Univ., Vol. 86, No. 1, March: 289-296, 2018 www.medicaljournalofcairouniversity.net Intermittent Exotropia, When to Recommend Glasses and When to Perform Surgery? SHAIMAA H.M. SOKEER, M.Sc.;
Review of the inverse Knapp procedure: indications, effectiveness and results
Review of the inverse Knapp procedure: indications, effectiveness and results v. MAURINO, A.S.. KWAN, J.P. EE Abstract Purpose To evaluate the indications and results of inverse Knapp procedures erformed
Intermittent exotropia is usually classified according to
A comparison of ocular alignment success of hang-back versus conventional bilateral lateral rectus muscle recession for true divergence excess intermittent exotropia Kanwar Mohan, MS, a and Ashok Sharma,
The Royal College of Ophthalmologists. Parent Information Squint/Strabismus
Parent Information Squint/Strabismus This leaflet is designed to answer some of the general queries relating to squint in childhood. The Children s Eye Care Team An OPHTHALMOLOGIST is a doctor who specialises
Title: Type of the Recurrent Exotropia after Bilateral Rectus Recession for Intermittent Exotropia
Author s response to reviews Title: Type of the Recurrent Exotropia after Bilateral Rectus Recession for Intermittent Exotropia Authors: Kwan Hyuk Cho (whmed@hanmail.net) Hee Weon Kim (khw402@hanmail.net)
Visual Impairment & Eye Health in Children. Susan Cotter, OD, MS So CA College of Optometry Marshall B Ketchum University Fullerton, CA
Visual Impairment & Eye Health in Children Susan Cotter, OD, MS So CA College of Optometry Marshall B Ketchum University Fullerton, CA Consequences of Childhood VI Social Emotional Physical Educational
Preoperative Factors Influencing Effectiveness of Surgery in Adult Strabismus
ELSEVIER Preoperative Factors Influencing Effectiveness of Surgery in Adult Strabismus Fumiko Umazume, Hiroshi Ohtsuki and Satoshi Hasebe Department of Ophthalmology, Okayama University Medical School,
Sensorimotor outcomes by age 5 years after monocular cataract surgery in the Infant Aphakia Treatment Study (IATS)
Sensorimotor outcomes by age 5 years after monocular cataract surgery in the Infant Aphakia Treatment Study (IATS) Erick D. Bothun, University of Minnesota Michael Lynn, Emory University Stephen P. Christiansen,
Help! My Baby s Eyes Are Crossed (or Something!)
Help! My Baby s Eyes Are Crossed (or Something!) Madhuri Chilakapati, MD Ophthalmology Chief Complaint My baby has a lazy eye The eyes move funny The eyes don t move together The eyes get stuck The eyes
Vision Care for Connecticut Children
Vision Care for Connecticut Children EXECUTIVE SUMMARY November 2003 Prepared by: Judith Solomon, JD Mary Alice Lee, PhD Children s Health Council With funding from: Children s Fund of Connecticut, Inc.
Financial Disclosures. Amblyopia: What the Studies Show. Acknowledgements. Development of PEDIG. PEDIG Protocols. Amblyopia Treatment Dogma Pre-ATS
Amblyopia: What the Studies Show Zachary S. McCarty, OD Financial Disclosures Acknowledgements Development of PEDIG PEDIG is a network dedicated to conducting multi-center studies in strabismus, amblyopia,
Indicators for Prescribing Spectacles in Normal Preschool Children. The author has no financial interest in any optical product or company.
Indicators for Prescribing Spectacles in Normal Preschool Children Sean P. Donahue, M.D., Ph.D. Vanderbilt University Medical Center Nashville, Tennessee Kaiser Symposium June 2008 The author has no financial
Approach to Strabismus:
Approach to Strabismus: By John Hilhorst 1. Definitions Strabismus is an anomaly of ocular alignment that can occur in any direction. It is characterized by a misalignment of one or both eyes that may
Dr Casey Ung. Ophthalmologist Dunedin Hospital Eye Clinic Marinoto Clinic & Specialists Dunedin
Dr Casey Ung Ophthalmologist Dunedin Hospital Eye Clinic Marinoto Clinic & Specialists Dunedin 8:30-9:25 WS #140: Paediatric Ophthalmology 9:35-10:30 WS #150: Paediatric Ophthalmology (Repeated) Paediatric
AVC 2017 Surgical treatment of childhood strabismus LIONEL KOWAL MELBOURNE
AVC 2017 Surgical treatment of childhood strabismus LIONEL KOWAL MELBOURNE TODAY S TALK If / when / why surgery is a good next step for your child Esotropia ET Exotropia XT Complex strabismus Cyclovertical
Pediatric Eye Disease Investigator Group Amblyopia Treatment Review
Pediatric Eye Disease Investigator Group Amblyopia Treatment Review Megan G. Rees, M.D., F.R.C.S.(C.), D.A.B.O. Cindy-Lee Hing Woo, B.Optom., O.C.(C.) ABSTRACT Introduction: The Pediatric Eye Disease Investigator
In most forms of strabismus, a patient s motor fusion mechanisms. Binocular Vision with Primary Microstrabismus
Binocular Vision with Primary Microstrabismus Ronald S. Harwerth and Patricia M. Fredenburg PURPOSE. Patients with primary microstrabismus have a high degree of binocularity, which suggests that their
Public Health and Eye Care
Public Health and Eye Care Rohit Varma, MD, MPH Professor and Chair USC Department of Ophthalmology Director, USC Eye Institute Associate Dean, Keck School of Medicine of USC Los Angeles, CA 1 Prevalence
Incidence of Amblyopia in Strabismic Population
Original Article Incidence of Amblyopia in Strabismic Population Mian M. Shafique, NaeemUllah, Nadeem H. Butt, Muhammad Khalil, Tayyaba Gul Pak J Ophthalmol 2007, Vol. 23 No. 1.................................................................................................
Particular surgical aspects in strabismus surgery. Vincent Paris
Particular surgical aspects in strabismus surgery Vincent Paris Spring meeting BSA 2009 Plan of the presentation Different supply technique Alphabetic syndrome and normal oblique function Simultaneous
DOWNLOAD PDF CLINICAL MANAGEMENT OF STRABISMUS
Chapter 1 : Strabismus Causes - American Academy of Ophthalmology Clinical Management of Strabismus [Elizabeth E. Caloroso, Michael W. Rouse] on blog.quintoapp.com *FREE* shipping on qualifying offers.
Comitant strabismus: Perspectives, present and future
Saudi Journal of Ophthalmology (2012) 26, 265 270 Pediatric Ophthalmology Update Comitant strabismus: Perspectives, present and future Darren T. Oystreck, MMedSci, OC(C) a,b, ; Christopher J. Lyons, MB,
Re-Double. Ron Teed, M.D. 12 January 2007 Vanderbilt Eye Institute. Alfred Bielschowsky
Re-Double Ron Teed, M.D. 12 January 2007 Vanderbilt Eye Institute Alfred Bielschowsky Patient History I cc: vertical binocular diplopia 63 yo male with 4 week history of diplopia; first intermittent, then
When & how to Rx glasses in children
When & how to Rx glasses in children Nikos Kozeis MD, PhD, FEBO, MRCOphth Consultant Pediatric Ophthalmologist Thessaloniki, Greece The menu of the talk When & How should we Rx glasses? * We ll discuss
Outcomes after the surgery for acquired nonaccommodative esotropia
Kim and Choi BMC Ophthalmology (2017) 17:130 DOI 10.1186/s12886-017-0527-y RESEARCH ARTICLE Outcomes after the surgery for acquired nonaccommodative esotropia Eunbi Kim and Dong Gyu Choi * Open Access
Paediatric Ophthalmology Assessment. Justin Mora 2017
Paediatric Ophthalmology Assessment Justin Mora 2017 History Visual developmental milestones Aware of people in the room, reaching for objects, following toys, alignment should be central and stable
Practice Patterns in the Management of Amblyopia: A Survey Study
Patterns in the Management of Amblyopia: A Survey Study Jacquelyn Laplant, MD; Aldo Vagge, MD; Leonard B. Nelson, MD, MBA ABSTRACT Purpose: To characterize current practice preferences of pediatric ophthalmologists
Adjustable Strabismus Surgery: An Early Glance
Original Article Adjustable Strabismus Surgery: An Early Glance Sana Nadeem, B.A Naeem, Farman Khan Pak J Ophthalmol 2018, Vol. 34, No. 2.....................................................................................................
Marshall Parks Lecture Binocular Sensory Outcomes in Accommodative ET
Marshall Parks Lecture Binocular Sensory Outcomes in Accommodative ET Eileen E. Birch, PhD a,b Purpose: To review what is known about the normal maturational sequence for fusion and stereopsis and the
Lateral Orbitotomy in the Management of Challenging Exotropia
Lateral Orbitotomy in the Management of Challenging Exotropia Yahalom C (1, 2), Mc Nab A (3), Ben Simon G (3), Kowal L (1). 1- Centre for Eye Research Australia and Ocular Motility Clinic, Royal Victorian
One-Year Strabismus Outcomes in the Infant Aphakia Treatment Study
One-Year Strabismus Outcomes in the Infant Aphakia Treatment Study Erick D. Bothun, University of Minnesota Julia Cleveland, Emory University Michael Lynn, Emory University Stephen P. Christiansen, Boston
Unilateral lateral rectus muscle advancement surgery based on one-fourth of the angle of consecutive esotropia
Kim and Lee BMC Ophthalmology (2017) 17:266 DOI 10.1186/s12886-017-0658-1 RESEARCH ARTICLE Open Access Unilateral lateral rectus muscle advancement surgery based on one-fourth of the angle of consecutive
Orthoptic Treatment in the Management of Intermittent Exotropia
Orthoptic Treatment in the Management of Intermittent Exotropia Reza Asadi, MD 1 Khalil Ghasemi-Falavarjani, MD 2 Nadia Sadighi, BS 3 Abstract Purpose: To evaluate the role of orthoptic treatments in the
Comparison of outcomes of unilateral recession-resection as primary surgery and reoperation for intermittent Exotropia
Lee and Choi BMC Ophthalmology (2017) 17:117 DOI 10.1186/s12886-017-0512-5 RESEARCH ARTICLE Open Access Comparison of outcomes of unilateral recession-resection as primary surgery and reoperation for intermittent
cme Combined Eyelid and Strabismus Surgery: Examining Conventional Surgical Wisdom Educational Objectives
Article Combined Eyelid and Strabismus Surgery: Examining Conventional Surgical Wisdom Michael S. McCracken, MD; Jonathan D. del Prado, MD; David B. Granet, MD; Leah Levi, MBBS; Don O. Kikkawa, MD Abstract
Intermittent exotropia is the second most common type
Residual exotropia following two muscle surgery Clinical Research Factors affecting residual exotropia after two muscle surgery for intermittent exotropia Shailja Tibrewal 1, Nishtha Singh 1, Marazul Islam
Clinical Pearls for Treating Vertical Deviations Jen Simonson, OD, FCOVD
Clinical Pearls for Treating Vertical Deviations Jen Simonson, OD, FCOVD Course Description: Dr. Simonson will share Clinical Pearls in treating vertical diplopia. This course will discuss eye alignment
The Psychosocial Effects of Adult Strabismus - A Review
The Psychosocial Effects of Adult Strabismus - A Review Jonathan M Durnian, Carmel P Noonan, Ian B Marsh To cite this version: Jonathan M Durnian, Carmel P Noonan, Ian B Marsh. The Psychosocial Effects