Purpose: The type of horizontal strabismus from loss or impairment of vision is thought to depend on patient age at the time of vision loss. Association between the age at onset of vision loss and development of esotropia vs exotropia will be determined. Methods: Patients with a diagnosis of sensory strabismus and visual acuity of 20/40 or poorer were reviewed as well as patients with diagnoses consistent with the development of sensory strabismus. Parameters considered were age at onset of vision loss and type of strabismus. Patients were excluded if the age at onset was not clear. Results: Of 123 patients with sensory strabismus reviewed: 82 (67%) had unilateral vision loss; 41 (33%) had bilateral vision loss; 75 (61%) had congenital vision loss; 50 (67%) developed esotropia; 25 (33%) developed exotropia; 48 (39%) had acquired vision loss; 5 (10%) developed esotropia; and 43 (90%) developed exotropia. A significant difference was noted between age at onset and type of horizontal strabismus (X 2 = 37.44; P <.0001). Conclusion: Of patients with congenital vision loss, 67% developed sensory esotropia and 33% developed sensory exotropia. Of those with acquired vision loss, 10% developed sensory esotropia and 90% developed sensory exotropia. Patients with congenital vision loss are significantly more likely to develop esotropia, P <.005, and those with acquired vision loss are significantly more likely to develop exotropia, P <.001.
Abstract PURPOSE Disc-fovea angle quantification in fundus photography (P-DFA) is considered the gold standard for cycloposition assessment. The FoDi software of the SD-OCT Spectralis also measures the DFA (O-DFA) based on subject fixation and offers important clinical advantages. This study aimed to analyze the validity and reliability of OCT measuring cycloposition and to determine its performance in eyes with poor foveal definition. DESIGN Validity and reliability analysis. METHODS In 60 eyes...
Abstract Objective To evaluate the different modalities of treatment of the strabismus related to infantile glaucoma, its complications, and results. Methods The clinical history of 7 patients with infantile glaucoma which required strabismus surgical treatment were analyzed. Age at onset of glaucoma, type of glaucoma, glaucoma surgeries, type of strabismus, strabismus surgical treatment and postoperative results were studied. Results Four patients required strabismus surgery, two were treated w...
Resumen Objetivo Evaluar las diferentes estrategias de tratamiento del estrabismo, sus complicaciones y resultados quirurgicos en pacientes con glaucoma de la infancia. Metodos Se analizaron las historias clinicas de 7 pacientes con glaucoma de la infancia que requirieron tratamiento quirurgico de estrabismo. Se analizaron las variables edad en el momento de la cirugia de estrabismo, tipo de glaucoma, cirugias de glaucoma, tipo de estrabismo, su tratamiento y resultados posquirurgicos. Resultado...
Last. Brigitte Röder(UHH: University of Hamburg)H-Index: 56
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Abstract Background Untreated congenital blindness through cataracts leads to lasting visual brain system changes, including substantial alterations of extrastriate visual areas. Consequently, late-treated individuals (> 5 months of age) with dense congenital bilateral cataracts (CC) exhibit poorer visual function recovery compared to individuals with bilateral developmental cataracts (DC). Reliable methods to differentiate between patients with congenital and developmental cataracts are often l...
Background Therapeutic corneal pigmentation has modernly evolved into different sophisticated techniques to camouflage cosmetically disabling corneal opacities and scars with good reported outcomes. Blind eyes frequently suffer from strabismus which further deteriorates the cosmesis of the patient. Combined keratopigmentation (KTPG) with strabismus surgery may be an option for these patients. Methods A total of 72 consecutive patients were retrospectively reviewed in this investigation. Main out...
In retinitis pigmentosa (RP), peripheral visual-field loss starts in early stages, whereas central vision loss occurs in advanced stages. Sensory strabismus gradually occurs in RP. We investigated the relationship between ocular deviation and visual function and explored for sensory strabismus risk factors in 119 consecutive patients with RP at various stages. We assessed ocular deviation at far and near distances, that is the central visual field, using the mean deviation (MD) value and visual ...
#1Eun Hye Jung(SNU: Seoul National University)H-Index: 4
#2Seong Joon Kim(SNU: Seoul National University)H-Index: 15
To report the results of surgical treatment for sensory exotropia and to examine the factors associated with the surgical outcome. The records of patients with sensory exotropia who were older than 18 years at the time of surgery and were followed up for at least 1 year postoperatively were retrospectively reviewed. Patients with visual acuity of ≤20/100 in the amblyopic eye were enrolled. Surgical success was defined as a final deviation of <10 prism diopters (PD) at distance in the primary pos...