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Strabismus
Ashok Garg, Emanuel Rosen, Eric R Crouch, Ewa Oleszczynska Prost
SECTION 1: CLINICAL STRABISMUS
1:
Binocular Vision
DEFINITION
INTRODUCTION
DIAGNOSIS OF BINOCULAR DISORDERS
ACCOMMODATIVE PERFORMANCE
COVER TEST
SUBJECTIVE TESTS TO ESTIMATE THE PRESENCE, DIRECTION AND MAGNITUDE OF PHORIAS
FIXATION DISPARITY TEST
EVALUATION OF POSITIVE AND NEGATIVE FUSIONAL VERGENCE
MEASUREMENT OF THE NEAR POINT OF CONVERGENCE
CONVERGENCE JUMP TEST
EXTERNAL OPHTHALMOLOGICAL EXAMINATION
RETINOSCOPY AND REFRACTION
MEASUREMENT AND EVALUATION OF DEVIATION
SENSORY STATE
WORTH'S FOUR DOT TEST
ESTIMATION OF THE LEVEL OF SUPPRESSION
STEREOPSIS
EVALUATION OF STEREOPSIS
ACCOMMODATION
PUPILLARY REFLEXES
EYE MOVEMENTS
BINOCULAR VISION ANOMALIES
BINOCULAR ANOMALIES
ACCOMMODATIVE ANOMALIES
OCULOMOTOR ANOMALIES
BINOCULAR ANOMALIES
CONVERGENCE INSUFFICIENCY
Treatment
FALSE CONVERGENCE INSUFFICIENCY
DIVERGENCE INSUFFICIENCY
Diagnosis
Treatment
CONVERGENCE EXCESS
DIVERGENCE EXCESS
Treatment
BASIC EXOPHORIA
BASIC ESOPHORIA
HYPERPHORIAS
ACCOMMODATIVE ANOMALIES
ACCOMMODATIVE INSUFFICIENCY
ACCOMMODATIVE EXCESS
ACCOMMODATIVE INFLEXIBILITY
OCULOMOTOR ANOMALIES
2:
Pediatric Strabismus Examination
INTRODUCTION
HISTORY
VISUAL ACUITY AND REFRACTION
EXAMINATION OF THE EYE
CHECK FOR PSEUDOSTRABISMUS
OCULAR MOVEMENTS
UNIOCULAR MOVEMENTS
BINOCULAR MOVEMENTS
VERSIONS
VERGENCES
HERING'S LAW
SHERRINGTON'S LAW
HEAD POSTURES
INTRODUCTION
BASICS
INDIVIDUAL MUSCLES INVOLVED
RIGHT LR PALSY
RIGHT MR PALSY
RIGHT SR PALSY
HIRSCHBERG'S CORNEAL REFLECTION TEST
TEST
COVER TEST
PARTS
Simple Cover Test
Cover-Uncover Test
Alternate Cover Test
PRIMARY AND SECONDARY DEVIATION
FALLACIES OF THE COVER TEST
PRISM BAR COVER TEST
TEST
KRIMSKY'S TEST
SYNAPTOPHORE (MAJOR AMBLYOSCOPE)
BASICS
USAGE OF THE INSTRUMENT
Interpupillary Distance (IPD)
Simultaneous Macular Perception
Fusion
Stereopsis
After Images
MADDOX ROD
PRINCIPLE
APPARATUS
DISTANCE
RESULTS
MADDOX WING TEST
INSTRUMENT
CLINICALLY IMPORTANT POINTS
DIPLOPIA
DIPLOPIA DEFINITION
TYPES OF DIPLOPIA
Physiological Diplopia (Fixation disparity)
Physical Uniocular Diplopia
Projectional Uniocular Diplopia
Central Uniocular Diplopia
Binocular Diplopia
Uncrossed Diplopia
Crossed Diplopia
Paradoxical Diplopia
Congruous Diplopia
Incongruous Diplopia
Overcoming Diplopia
SWAN'S SYNDROME
DIPLOPIA TESTING
INTRODUCTION
PROCEDURE
HESS CHARTING
INSTRUMENT
TEST
RESULTS
WORTH'S 4 DOT TEST
BAGOLINI'S STRIATED GLASSES TEST
TESTS FOR STEREOPSIS
DEFINITION OF STEREOPSIS
DIFFERENCE BETWEEN STEREOPSIS AND FUSION
TESTS
AFTER IMAGES TEST
3:
Signs, Symptoms and Adaptations in Strabismus
INTRODUCTION
CONFUSION
DEFINITION
INTRODUCTION
COMPARISON WITH DIPLOPIA
DIPLOPIA
SUPPRESSION
DEFINITION
DIFFERENCE FROM AMBLYOPIA
TESTS TO DETECT SUPPRESSION
Worth's Four Dot Test
FRIEND Test
Bagolini's Striated Glasses
Synaptophore
AMBLYOPIA
DEFINITION
INCIDENCE
TYPES
Amblyopia Ex Anopsia
Organic (Congenital) Amblyopia
Anisometropic Amblyopia
Aniseikonic Amblyopia
Ametropic Amblyopia
Strabismic Amblyopia
CLINICAL FEATURES
TREATMENT
ECCENTRIC FIXATION
INTRODUCTION
TYPES
PARADOXICAL FIXATION
Remember
INVESTIGATIONS
Corneal Reflection Test
Ophthalmoscope
Others
TREATMENT
ABNORMAL RETINAL CORRESPONDENCE
DEFINITION
ANGLES
PERVERSION QUOTIENT
EXPLANATION
FACTORS WHICH FAVOR THE DEVELOPMENT OF ARC
CASES OF SQUINT IN WHICH ARC IS UNLIKELY TO OCCUR
ADVANTAGES OF ARC
DISADVANTAGE OF ARC
TESTS TO DETECT ARC
Worth's Four Dot Test
Synaptophore
Bagolini's Striated Glasses
After-images Test
Others
TREATMENT
4:
Sensory Adaptations in Strabismus
INTRODUCTION
TYPES OF SENSORY ADAPTATIONS
SUPPRESSION
MECHANISM
REQUIREMENTS
TYPES
Physiological Suppression
Pathological Suppression
TESTS FOR SUPPRESSION
Worth 4-Dot Test
Four D Base-out Prism Test
Diplopia Test
Bagolini Striated Glass Test
Synaptophore Test
Vectograph Test
ANOMALOUS RETINAL CORRESPONDENCE
FACTORS AFFECTING THE DEVELOPMENT OF ARC
Objective Angle of Deviation
Subjective Angle of Deviation
Angle of Anomaly
THEORIES OF DEVELOPMENT
DETERMINATION TO TYPE OF RETINAL CORRESPONDENCE
Bielscowsky Afterimage (AI) Test
Red Filter Test
Bagolini Strated Lenses
Synaptophore Test
Worth 4-dot Test
AMBLYOPIA
PREVALNCE
PATHOPYHSIOLOGY
SENSITIVE PERIOD
CLASSIFICATION
Strabismic Amblyopia
Anisometropic Amblyopia
Visual Deprivation Amblyopia (amblyopia ex anopsia)
Amblyopia with Nystagmus
Organic Amblyopia
Idiopathic Amblyopia
DIAGNOSTIC TESTS
Visual Acuity Testing
Neutral Density Filters
PATTERN OF FIXATION
Fixation Pattern
Examination of Fixation
Fixation Preference
Visual Fields
Contrast Sensitivity
Width of Pupil and Pupillary Responses
Electrophysiological Studies
Screening Tests
5:
Esodeviations
PSEUDOESOTROPIA
ESOPHORIA
CLINICAL FINDINGS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
CONGENITAL ESOTROPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
NYSTAGMUS BLOCKADE SYNDROME
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
ACCOMMODATIVE ESOTROPIA
REFRACTIVE ACCOMMODATIVE ESOTROPIA (FULLY ACCOMMODATIVE ESOTROPIA)
Clinical Findings
Investigation
Differential Diagnosis
Treatment
Prognosis
NONREFRACTIVE ACCOMMODATIVE ESOTROPIA (HIGH AC/A RATIO, CONVERGENCE EXCESS)
Clinical Findings
Investigation
Differential Diagnosis
Treatment
Prognosis
PARTIAL ACCOMMODATIVE ESOTROPIA
Clinical Findings
Differential Diagnosis
CYCLIC ESOTROPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
ACUTE ACQUIRED ESOTROPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
DIVERGENS INSUFFICIENCY ESOTROPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
SPASM OF THE NEAR REFLEX
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
DEPRIVATION (SENSORY) ESOTROPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
CONSECUTIVE ESOTROPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
6:
Exodeviations
PSEUDOEXOTROPIA
EXOPHORIA
CLINICAL FINDINGS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
CONGENITAL EXOTROPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
INTERMITTENT EXOTROPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
CONVERGENCE INSUFFICIENCY
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
CONVERGENCE PARALYSIS
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
DEPRIVATION (SENSORY) EXOTROPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
CONSECUTIVE EXOTROPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
7:
Amblyopia
INTRODUCTION
STRABISMIC AMBLYOPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
ANISOMETROPIC AMBLYOPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
AMETROPIC AMBLYOPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
DEPRIVATION AMBLYOPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
ORGANIC AMBLYOPIA
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
AMBLYOPIA FROM NYSTAGMUS
8:
Cranial Nerve Palsies
CRANIAL NERVE III PALSY
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
CRANIAL NERVE IV PALSY
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
CRANIAL NERVE VI PALSY
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
9:
Cyclovertical Deviations
INTRODUCTION
DIFFERENCE FROM HORIZONTAL DEVIATIONS
CLASSIFICATION
COMITANT VERTICAL DEVIATIONS (Associated Vertical Deviation)
FEATURES
DIFFERENTIAL DIAGNOSIS
TREATMENT
PARETIC VERTICAL DEVIATIONS
THIRD NERVE PARESIS
Introduction
Etiology
Features
Differential Diagnosis
Management
FOURTH NERVE PARALYSIS
Types
Clinical Manifestation
Other Features
Management
STRABISMUS SURSOADDUCTORIUS (SYN: OVERACTION OF THE INFERIOR OBLIQUE)
ETIOLOGY
INTRODUCTION
CLINICAL CHARACTERISTICS
DIFFERENTIAL DIAGNOSIS
MANAGEMENT
Recession of the IO
Myectomy of the IO
DISSOCIATED VERTICAL DEVIATION (DVD) (Syn: Alternating Hypertropia, Double Hypertropia, Alternating Sursumduction)
INTRODUCTION
THEORIES
CLINICAL CHARACTERISTICS
DIFFERENTIAL DIAGNOSIS
MANAGEMENT
COMBINATIONS
FADEN'S OPERATION (Syn: Posterior Fixation Suture Operation. Retroequatorial Myopexy)
INDICATIONS
10:
Concomitant Strabismus
INTRODUCTION
ANATOMY AND PHYSIOLOGY
ANATOMY OF THE EXTRAOCULAR MUSCLES
RECTUS MUSCLES
Medial Rectus Muscle
Lateral Rectus Muscle
Superior Rectus Muscle
Inferior Rectus Muscle
OBLIQUE MUSCLES
Superior Oblique Muscle
Inferior Oblique Muscle
LAWS OF THE EYEBALLS MOTILITY
LAWS
Sherrington's Law
Hering's Law
BINOCULAR ROTATIONS
Versions
Vergences
REFLEX EYEBALLS MOVEMENTS
Optometric Reflexes
Postural Eyeball Reflexes
Optokinetic Nystagmus
BINOCULAR VISION PHYSIOLOGY
VISUAL DEVELOPMENT
BINOCULAR VISION
PATHOPHYSIOLOGY OF BINOCULAR VISION
Amblyopia
Anomalous Retinal Correspondence (ARC)
STRABISMUS EXAMINATION
HISTORY
INSPECTION
VISUAL ACUITY
Observational Techniques
Optokinetic Nystagmus
Visual Evoked Potentials
Forced Choice Preferential Looking
Graded Optotypes
Monocular Fixation
REFRACTION
OCULAR MOTOR EXAMINATION
Ocular Movements Examination
OCULAR DEVIATION MEASUREMENTS
Hirschberg Method
Krimsky Test
Cover Tests
Cover-uncover Test
Alternate Cover Test
Prism-alternate Cover Test
Synoptophore
Red Filter Test
Maddox Rod Test
Forced Duction Test
Hess Screening
SENSORY EXAMINATION
Synoptophore Examination
Anomalous Retinal Correspondence Examination with Prism
Possible Worth Four-dot test
Bagolini Lenses
Stereopsis Tests
TYPES OF STRABISMUS
PSEUDOSTRABISMUS
HETEROPHORIA
CONCOMITANT STRABISMUS
Esotropia
Congenital esotropia
Accommodative Esotropia
Cyclic Esotropia
Exotropia
Congenital Exotropia
Intermittent Exotropia
Oblique Muscle Dysfunction
Alphabet Pattern Strabismus
Vertical Strabismus Forms
MANAGEMENT OF STRABISMUS
CONCOMITANT STRABISMUS MANAGEMENT
NONSURGICAL STRABISMUS MANAGEMENT
Correction of Refraction Errors
Amblyopia
Penalization Method
Pleoptics
Prisms
Orthoptics
Botulinum Toxin
SURGICAL MANAGEMENT
Preoperative Evaluation and Diagnostic Approach
How to Establish the Extend of Surgery?
Strabismus Surgery Techniques
Rectus Muscles
Horizontal Muscle Transpositions for Alphabet Pattern Strabismus
Posterior Fixation Suture
Inferior Oblique Muscle
Superior Oblique Tendon Plication
Superior Oblique Tenotomy
Complications
Outcomes
11:
Diagnostic Methods in Concomitant Squint
INTRODUCTION
INCIDENCE
CAUSES
CONCOMITANT STRABISMUS
TYPES OF CONCOMITANT STRABISMUS
EXAMINATION OF A CASE OF SQUINT
EXAMINATION OF MOTOR STATUS
HEAD POSTURE
Measurement of Interpupillary Distance
OCULAR DEVIATION
Pseudo-strabismus
Angle Kappa
Detection of a Squint
Cover Test
Cover Test (Observation Made During Cover Test)
The Uncover Test (Observations Made During Uncovering)
Alternate Cover Test
Prerequisites of Cover -Uncover Test
Information from Cover Uncover Test
Measurement of Ocular Deviation
Prism Bar Cover Test (PBCT)
Prism Bar Under Cover test: Measurement of Dissociated Vertical Deviations (DVD)
Effect of High Plus or Minus Glasses on Measuring Squint Deviations
Different Aspects of Measurement
EXAMINATION OF EYES IN NINE GAZE POSITIONS
Synoptophore
Uses of Synoptophore
CORNEAL REFLECTION TESTS
Hirschberg's Test
Krimsky Test
Synoptophore
SUBJECTIVE TESTS OF DEVIATION
Diplopia Testing
Hess and Lees Screen
Measurement of Cyclodeviations
Limitations of Movements
Grading Oblique Overactions
Measurement of Vergences
Horizontal Vergences
Convergence Sustenance
Measurement of Vergences with Prisms
EXAMINATION OF THE SENSORY STATUS
BINOCULARITY AND DIPLOPIA
SUPPRESSION
Tests for Suppression
Measurement of Suppression Scotoma
Depth of Scotoma
RETINAL CORRESPONDENCE
Pre-requistes for ARC
Diagnosis of ARC
Bagolini's Striated Glasses
Worth's Four Dot Test
Synoptophore
After Image Test
AMBLYOPIA
Classification of Amblyopia
Clinical Features
Stereoacuity
Stereoacuity Tests
Randot Stereotest
TNO Test
Frisby Test
Distance Stereopsis Tests
Normal Stereoacuity
Gross Stereopsis: Lang's Two Pencil Test
Fixation Disparity
Fixation Disparity Curves
Disparometer
Wesson's Card
12:
A and V Patterns in Strabismus
INTRODUCTION
PREVALENCE
ETIOLOGY
HORIZONTAL FACTORS
Vertical School
Oblique School
STRUCTURAL FACTORS (ORBITAL / CRANIOFACIAL ANOMALIES)
ANOMALIES OF MUSCLE INSERTIONS
EFFECT OF THE PULLEY SYSTEMS
CLINICAL FINDINGS AND DIAGNOSIS
TREATMENT
CONCLUSION
13:
Nystagmus
DEFINITION
GENERAL CONSIDERATIONS
TERMINOLOGY
PENDULAR NYSTAGMUS
JERKY NYSTAGMUS
MICRONYSTAGMUS
NULL ZONE
NEUTRAL ZONE
ALEXANDER'S LAW
GRADES
EXAMINATION OF A CASE OF NYSTAGMUS
CLASSIFICATION
OCULAR NYSTAGMUS
DEVIATIONAL NYSTAGMUS
OPTOKINETIC NYSTAGMUS
Introduction
Clinical Test
Kestenbaum's Newspaper Method
Barrie's Ruler Test
Optokinetic Nystagmus Drum
Pathway
Parietal Lobe Lesion
Type of OKN Abnormalities
Inverse OKN
PATHOLOGICAL OCULAR NYSTAGMUS
Amaurotic Nystagmus
Amblyopic Nystagmus
Spasmus Nystagmus
Miner's Nystagmus
Latent Nystagmus
VESTIBULAR NYSTAGMUS
VESTIBULAR APPARATUS
CALORIC TEST
VERTICAL VESTIBULAR NYSTAGMUS
LESIONS
Canal Paresis (Peripheral Lesion)
Directional Preponderance (Central Lesion)
ROTATIONAL NYSTAGMUS
DOLL'S HEAD PHENOMENON
CEREBELLAR NYSTAGMUS
CENTRAL NYSTAGMUS
MISCELLANEOUS
VOLUNTARY NYSTAGMUS
HYSTERICAL NYSTAGMUS
IDIOPATHIC CONGENITAL NYSTAGMUS
NYSTAGMUS BLOCKAGE SYNDROME
SYMPTOMS
TREATMENT
14:
Cranial Nerve Palsies and their Management
CLASSIFICATION OF INCOMITANT STRABISMUS
DEFINITION
TYPES
CLINICAL FEATURES
CLASSIFICATION OF PARALYTIC SQUINT
THIRD NERVE PALSY
ANATOMY
ETIOLOGY
Congenital Third Nerve Palsy
Acquired Third Nerve Palsy
CLINICAL PRESENTATION
Complete Third Nerve Palsy
Partial Third Nerve Palsy
Isolated Muscle Palsy
EVALUATION
DIFFERENTIAL DIAGNOSIS
MANAGEMENT OF THIRD NERVE PALSY
During the Acute Phase
Definitive/Surgical Management
Isolated Muscle Paralysis
FOURTH NERVE PALSY
ANATOMY
ETIOLOGY
Congenital Fourth Nerve Palsy
Acquired Fourth Nerve Palsy
CLINICAL PRESENTATION
Bilateral SO Palsy
DIFFERENTIAL DIAGNOSIS
Primary IO Overaction
Brown's Syndrome
Pseudoparalysis
Myasthenia Gravis
MANAGEMENT OF FOURTH NERVE PALSY
Nonsurgical Management
Surgical Management
SIXTH NERVE PALSY
ANATOMY
ETIOLOGY
Congenital Sixth Nerve Palsy
Acquired Sixth Nerve Palsy
CLINICAL PRESENTATION
DIFFERENTIAL DIAGNOSIS
Myasthenia Gravis
Graves Ophthalmopathy
Duane Rectraction Syndrome
Infantile Esotropia
MANAGEMENT OF SIXTH NERVE PALSY
Nonsurgical Management
Surgical Management
15:
Strabismus Syndromes
A. STRABISMUS SYNDROME
DUANE'S RETRACTION SYNDROME
DUANE'S SYNDROME IS CLASSIFIED INTO THREE TYPES
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
BROWN'S SYNDROME
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
MOEBIUS SYNDROME
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
MARCUS GUNN'S SYNDROME
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
DOUBLE ELEVATOR PALSY
CLINICAL FINDINGS
INVESTIGATION
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
B. STRABISMUS SYNDROMES
INTRODUCTION
MOEBIUS’ SYNDROME
DUANE'S RETRACTION SYNDROME
BROWN'S SYNDROME
CONGENITAL FIBROSIS OF THE EXTRAOCULAR MUSCLES (CFEOM)
CRANIOFACIAL SYNDROMES
OPHTHALMOPLEGIA SYNDROMES
DOUBLE ELEVATOR PALSY (MONOCULAR ELEVATION PALSY)
NYSTAGMUS
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
DIFFERENTIAL DIAGNOSIS
TREATMENT
PROGNOSIS
16:
Special Forms of Strabismus
INTRODUCTION
DUANE'S RETRACTION SYNDROME
DEFINITION
ETIOLOGY
Structural Anomalies
Abnormal Innervation
CLINICAL FEATURES
Classification
Variations in Clinical Pattern
MANAGEMENT
Medial Rectus Recession
Medial Rectus and Lateral Rectus Recession
Transposition of Vertical Recti
Management of Upshoots and Downshoots
BROWN'S SYNDROME
DEFINITION
ETIOLOGY
Congenital Abnormality
Acquired Brown Syndrome
CLINICAL FEATURES
Characteristics
Other Variable Features
Classification
MANAGEMENT
Nonsurgical
Surgical Management
Complications of Surgery
CHRONIC PROGRESSIVE EXTERNAL OPHTHALMOPLEGIA
CONGENITAL FIBROSIS OF EXTRAOCULAR MUSCLES (CFEOM)
DIFFERENTIAL DIAGNOSIS
TREATMENT
THYROID OPHTHALMOPATHY
DEFINITION
ETIOPATHOGENESIS
CLINICAL FEATURES
DIFFERENTIAL DIAGNOSIS
MANAGEMENT
Nonsurgical
Surgical
When to Operate
17:
Nonsurgical Treatment of Squint
INTRODUCTION
OPTICAL TREATMENT
PHARMACOLOGICAL TREATMENT
ORTHOPTICS
DEFINITION
AIM
INTRODUCTION
CLASSIFICATION
Antisuppression Treatment
TREATMENT OF FUNCTIONAL AMBLYOPIA
Occlusion
Red Filter Treatment
Prisms
Pleoptics
TREATMENT OF ABNORMAL RETINAL CORRESPONDENCE
Fusion Training
TREATMENT OF CONVERGENCE INSUFFICIENCY
18:
Botulinum Toxin in Strabismus
INTRODUCTION
CLINICAL SIGNS AND SYMPTOMS
INVESTIGATIONS
TREATMENT
PRECAUTIONS
PROGNOSIS
SECTION 2: STRABISMUS SURGERY AND RECENT ADVANCES
19:
Video-Oculography: A New Perspective of Ocular Motility for Strabismology
INTRODUCTION
ANATOMOPHYSIOLOGICAL BASES
EXTRAOCULAR MUSCLES
Medial Rectus Muscle
Lateral Rectus Muscle
Superior Rectus Muscle
Inferior Rectus Muscle
Superior Oblique Muscle
Inferior Oblique Muscle
THE SPIRAL OF TILLAUX
OCULAR MOVEMENTS
INDIVIDUAL ACTION OF THE OCULAR MUSCULATURE
HOMOLATERAL SYNERGISTS AND ANTAGONISTS
CLASSIFICATION OF OCULAR MOVEMENTS
OCULAR MOTILITY LAWS
Sherrington's Law (Charles Scott Sherrington, English physiologist, 1857-1952) or the reciprocal innervation
Hering's law (Heinrich Ewald Hering, German physiologist, (1866-1948) or law of motor correspondence or of innervation equality
EXPLORATORY TECHNIQUES: 3D VIDEO-OCULOGRAPHY (VOG-3D) SENSOMOTORIC INSTRUMENT®
POSITION OF THE 3D-VOG MASK
CENTRING OF THE IMAGES
SYSTEM CALIBRATION
ESTABLISHING THE REFERENCE PATTERN
TORSIONAL STUDIES
TECHNICAL CHARACTERISTICS OF 3D-VOG
MEASURES AND RESOLUTION
VOG GOGGLES
VISUAL STIMULUS (VISUALLABTM)
ANALYSIS
VOG WORKSTATION
PRACTICAL APPLICATION OF VIDEO-OCULOGRAPHY TO STRABISMUS
DIPLOPIA ANALYSIS
ANALYSIS OF STIFF NECK
ANALYSIS OF STRABISMUS; ALTERNATING ENDOTROPHY
ANALYSIS OF DISSOCIATED VERTICAL DIVERGENCE
ANALYSIS OF MUSCULAR PARALYSIS
NYSTAGMOGRAPHY
CLASSIFICATION
According to the Speed of the Phases
According to the Form of Occurrence
According to its Frequency
According to the Direction
20:
Managing Amblyopia with Corneal Wavefront Guided Lasik in Children
INTRODUCTION
CAUSES OF AMBLYOPIA
STRABISMUS
OPTICAL DEFOCUS
RATIONALE FOR TREATMENT
HOW IS AMBLYOPIA TREATED IN CHILDREN?
Atropine
Patching
AMBLYOPIA TREATMENT STUDY
PROBLEMS FOR EXCIMER LASER REFRACTIVE SURGERY WITH CHILDREN
STANDARD TREATMENT FOR ANISOMETROPIA AMBLYOPIA
OUR CRITERIA FOR LASIK IN CHILDREN
REFRACTIVE GOALS IN THE CHILD
FOLLOW UP SCHEDULE
EXAMINATION SCHEDULE
CAUTION WITH OUR STUDY
EXAMINATION PROTOCOL
DEMOGRAPHICS
CONCLUSION
CONCLUSION
21:
Update on Strabismus Surgery in Children
INFANTILE ESOTROPIA
CONGENITAL ESOTROPIA
Preoperative Evaluation
Timing for Congenital Esotropia Surgery
Surgical Approach for Congenital Esotropia
INFANTILE ACCOMMODATIVE ESOTROPIA
Esotropia Fully Corrected for Distance and Near
Distance Corrected, but there is Residual Esotropia at Near (high AC/A ratio)
Residual Esotropia for Distance and Near, Partially Accommodative Esotropia
LATE ONSET STRABISMUS
NORMO-SENSORY STRABISMUS
NON-ACCOMMODATIVE ACQUIRED ESOTROPIA
22:
Hyperopic Lasik for Accommodative Esotropia
INTRODUCTION
TREATMENTS FOR ACCOMMODATIVE ESOTROPIA
PREOPERATIVE EXAMINATION
SURGICAL TECHNIQUE
RESULTS
REFRACTION
TOPOGRAPHY
VISUAL ACUITY
PRIMARY POSITION
SENSORY TESTS
COMPLICATIONS
DISCUSSION
CONCLUSION
23:
Strabismus Surgery
INTRODUCTION
SURGICAL ANATOMY OF THE MUSCLES
RECTI MUSCLES
SUPERIOR OBLIQUE MUSCLE
INFERIOR OBLIQUE MUSCLE
BASIC PRINCIPLES OF STRABISMUS SURGERY
TECHNIQUES OF MUSCLE EXPOSURE
WEAKENING PROCEDURES OF THE RECTI
Recession
Fadenoperation (Retroequatorial myopexy)
Marginal Myotomy
Myectomy and Free Tenectomy or the Recti Muscles
STRENGTHENING PROCEDURES OF THE RECTI MUSCLES
Resection of Recti
Tuck or Placation
Advancement
Cinching
RESECTION-RECESSION PROCEDURES ON HORIZONTAL MUSCLES AND THEIR MODIFICATIONS
Recession and Resection (R and R)
Vertical Displacement of Horizontal Muscles
Slanted Recession-resection Procedure
INFERIOR OBLIQUE SURGERY
Weakening Procedures of Inferior Oblique Muscle
Technique of Muscle Exposure
Pure Recession, Recession with Anterior Positioning and Pure Anterior Positioning of Inferior Oblique
Strengthening Procedures of Inferior Oblique
Inferior Oblique Tuck
Resection with Advancement of Inferior Oblique
SUPERIOR OBLIQUE SURGERIES
Weakening Procedures for Superior Oblique
Superior Oblique Tenectomy and Tenotomy
Recession of Superior Oblique
Posterior Tenectomy of Superior Oblique Muscle
Superior Oblique Expander
STRENGTHENING PROCEDURES OF SUPERIOR OBLIQUE
Superior Oblique Tuck
Harada-Ito Procedure
COMPLICATIONS OF STRABISMUS SURGERY
COMPLICATIONS DUE TO GENERAL ANESTHESIA AND LOCAL ANESTHESIA
Bradycardia
Toxicity of Local Anesthetic Agents
INTRAOPERATIVE AND POSTOPERATIVE COMPLICATIONS
Operating the Wrong Muscle/Wrong Surgery
Operating the Wrong Eye
Loss of Vision
Scleral Perforation
Lost or Slipped Muscle and Muscle Tendon Rupture
Hyphema
Posterior Chamber Hemorrhage
Undercorrection and Overcorrection
Anterior Segment Ischemia
24:
Strategies for Amblyopia: Rehabilitation Orthoptics and Refractive Surgery
INTRODUCTION
HOW DOES AMBLYOPIA ARISE?
CLASSIFICATION OF AMBLYOPIAS
ETIOLOGICAL CLASSIFICATION
PROGNOSIS OF AMBLYOPIA
DIAGNOSIS
EXAMINATION OF THE CHILD
HOW TO TREAT AMBLYOPIA?
TREATMENT FROM A SURGICAL VIEWPOINT
25:
Adjustable Sutures in Pediatric Strabismus Surgery
INTRODUCTION
INTRAOPERATIVE ADJUSTMENTS
POSTOPERATIVE ADJUSTMENTS
SUMMARY
INDEX
TOC
Index
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