Management of Strabismus in Myopes.

Published on Jul 1, 2015in Middle East African Journal of Ophthalmology
· DOI :10.4103/0974-9233.159728
Ramesh Kekunnaya14
Estimated H-index: 14
,
Anjali Chandrasekharan2
Estimated H-index: 2
,
Virender Sachdeva13
Estimated H-index: 13
Sources
Abstract
Strabismus in myopes can be related to anisometropia, accommodation/convergence effects, and/or muscle path deviations. This review article highlights management considerations in myopic patients.
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References49
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#2Virender Sachdeva (LVPEI: L V Prasad Eye Institute)H-Index: 13
Last. Ramesh KekunnayaH-Index: 14
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Aim To evaluate safety profile and surgical outcomes of a novel modification of loop myopexy with silicone band for myopic strabismus fixus (MSF). Design Retrospective interventional case series. Methods A retrospective chart review of patients who underwent silicone band loop myopexy between January 2008 and December 2012 for MSF at a tertiary eye care centre was undertaken. A minimum of 2 months of follow-up after surgery was required for inclusion. Patients who underwent conventional suture l...
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#1Kwang Hoon Shin (Gachon University)H-Index: 2
#2Sang Hun Hyun (Gachon University)H-Index: 1
Last. Hae Jung Paik (Gachon University)H-Index: 1
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Aim To investigate the relationship between myopic progression and intermittent exotropia, and the impact of surgery for exotropia on myopic progression in early school-aged children (from 7 years to 12 years of age). Methods Medical records of early school-aged patients with myopia were reviewed. Patients were divided into three groups; (A) Patients with intermittent exotropia and myopia at presentation and who underwent bilateral lateral rectus muscle recession for exotropia when 7–12 years ol...
7 CitationsSource
#1Muna Al OumH-Index: 5
#2Simone DonatiH-Index: 10
Last. Claudio AzzoliniH-Index: 24
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Purpose To investigate cycloplegic refraction and ocular alignment in a population of preterm children at 1 and 6 years old.
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PURPOSE: To highlight the association of exotropia-hypotropia complex in cases of high myopia and its surgical outcome. METHODS: A retrospective study of 15 consecutive patients, diagnosed as having high myopia and exotropia-hypotropia, observed between January 2002 and May 2012 was performed. The main outcome measures were clinical presentation, orbital imaging features, and the surgical outcome of cases. RESULTS: Of the 15 patients, 9 were female. The median age was 23.5 years (range: 10 to 35...
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#1Luisa M. Hopker (UTSW: University of Texas Southwestern Medical Center)H-Index: 1
#2David R. WeakleyH-Index: 26
Purpose To report the success rates in children after one-muscle recession for sensory strabismus. Methods The medical records of consecutive patients ≤18 years of age who underwent primary unilateral horizontal surgery for sensory strabismus measuring ≤30 Δ from 2004 to 2010 were retrospectively reviewed. Data collected included age at surgery, sex, length of follow-up, procedure performed, pre- and postoperative deviation, and treatment of associated vertical strabismus. Success was defined as...
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#1Anna M. Horwood (University of Reading)H-Index: 15
#2Patricia M. Riddell (University of Reading)H-Index: 22
Purpose This study considered whether vergence drives accommodation or accommodation drives vergence during the control of distance exotropia for near fixation. High accommodative convergence to accommodation (AC/A) ratios are often used to explain this control, but the role of convergence to drive accommodation (the CA/C relationship) is rarely considered. Atypical CA/C characteristics could equally, or better, explain common clinical findings.
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#1Jee Ho Chang (SCH: Soonchunhyang University)H-Index: 7
#2Hoon Dong Kim (SCH: Soonchunhyang University)H-Index: 7
Last. Sueng-Han Han (Yonsei University)H-Index: 12
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In cases of extropia with an exodeviation angle over 50 prism diopter (PD), a 3- or 4-muscle surgery is a rational option. But, in patients with sensory exotropia, there is usually a strong preference for a monocular procedure to avoid surgery on the single seeing eye. Thus, we confined surgery to visually poor eyes, and performed a medial rectus muscle resection with a mean of 10.3 mm (range, 9-11 mm) and a lateral rectus muscle recession with a mean of 12.8 mm (range, 10-14 mm) in 4 adult sens...
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#1Stacy L. Pineles (UCLA: University of California, Los Angeles)H-Index: 22
#2Noa Ela-Dalman (UCLA: University of California, Los Angeles)H-Index: 10
Last. Arthur L. Rosenbaum (UCLA: University of California, Los Angeles)H-Index: 21
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Purpose To examine long-term surgical success rates (>10 years) for patients with intermittent exotropia and the risk factors for failure of surgery in these patients. Methods An attempt was made to contact all patients who underwent surgical treatment for intermittent exotropia between the years of 1970 to 1998 with a minimum postoperative follow-up of 10 years. Each patient underwent a detailed sensory and motor examination, including measurements of near and distance stereoacuity, cover testi...
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#1Gabriele C. Gusek-Schneider (FAU: University of Erlangen-Nuremberg)H-Index: 7
#2Andrea Boss (FAU: University of Erlangen-Nuremberg)H-Index: 1
Purpose: To provide a longer follow-up after strabismus surgery for secondary sensory strabismus.Patients and Methods: We investigated the follow up of 26 patients operated on for secondary strabismus: 7 convergent (SSC), 19 divergent (SSD). Inclusion criteria were fellow eye without any morphological disorder, and exclusion criteria were possible motility disorders or mechanical restriction: The mean follow-up time after surgery was 5 years 8 months ± 4 years (1 year 8 months to 12 years 8 mont...
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#1Noha S. Ekdawi (Mayo Clinic)H-Index: 4
#2Kevin J. Nusz (Mayo Clinic)H-Index: 6
Last. Brian G. Mohney (Mayo Clinic)H-Index: 31
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Purpose To describe the long-term refractive error changes in children diagnosed with intermittent exotropia (IXT) in a defined population. Design Retrospective, population-based observational study. Methods Using the resources of the Rochester Epidemiology Project, the medical records of all children ( Results One hundred eighty-four children were diagnosed with IXT during the 20-year study period; 135 (73.4%) had 2 or more refractions separated by a mean of 10 years (range, 1–27 years). The Ka...
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Purpose: To identify risk factors for abduction limitation in consecutive esotropia following surgical correction of exotropia. To study outcomes of lateral rectus advancement for consecutive esotr...
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A 60-year-old man presented to our outpatient clinic with chief complaints of progressive inward deviation of both eyes and presence of a yellowish mass in both eyes for 2 years. On examination, the best-corrected visual acuity in the right eye (RE) was perception of light with accurate projection
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#1Pratik Chougule (LVPEI: L V Prasad Eye Institute)H-Index: 2
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Intermittent exotropia (X(T)) is one of the most common form of strabismus with surgery being the mainstay of treatment. The main goal of surgery is to preserve binocular vision and stereopsis and to prevent its further loss. The decision to operate is mainly based on four aspects: increasing angle of exodeviation, deteriorating control of X(T), decrease in stereopsis for near or distance and quality of life. Bilateral lateral rectus muscle recession and unilateral lateral rectus recession with ...
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Resumen Introduccion El tratamiento del estrabismo asociado a la miopia representa, en muchas ocasiones, un reto terapeutico para el oftalmologo. El estrabismo asociado a la miopia tiene ciertas peculiaridades y existen incluso ciertos tipos de estrabismo que se producen exclusivamente en miopia, como el estrabismo fixus que requiere tratamientos con tecnicas quirurgicas especificas. Material y metodos Es importante hacer un diagnostico diferencial correcto, porque hay muchas entidades descritas...
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Abstract null null Introduction null The treatment of strabismus associated with myopia is often a therapeutic challenge for the ophthalmologist. null The strabismus associated with myopia has certain peculiarities and there are even certain types of strabismus that occur exclusively in myopia, such as strabismus fixus, requiring treatments with specific surgical techniques. null null null Materials and methods null It is important to make a correct differential diagnosis, because there are many...
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