Ophthalmology
Janesh K Gupta in Core Clinical Cases in Surgery and Surgical Specialties, 2014
There is a very close relationship between visual function and ocular alignment in children, and many children with squint develop amblyopia. Conservative management: detection and treatment of refractive errors (spectacles) and amblyopia (occlusion therapy of the ‘good eye’) are important.Surgical treatment: ocular realignment by means of strabismus surgery can then be carried out if necessary.Retinoblastoma may be treated by chemoreduction and focal therapy (laser photocoagulation and cryotherapy). In some cases, external beam radiotherapy is also needed. Unfortunately, many eyes with advanced disease need to be enucleated.
Disorders of the Orbit
John C Watkinson, Raymond W Clarke, Louise Jayne Clark, Adam J Donne, R James A England, Hisham M Mehanna, Gerald William McGarry, Sean Carrie in Basic Sciences Endocrine Surgery Rhinology, 2018
A complete ophthalmology examination is necessary prior to the procedure. This includes evaluation of the degree of proptosis, assessment of eye movements and diplopia, measurement of visual acuity, and colour vision. Pre-operative consent must include discussion of risks including permanent double vision and need for strabismus surgery.
The development and treatment of V-pattern and upshoot in adduction in cyclic esotropia
Jan-Tjeerd de Faber in 28th European Strabismological Association Meeting, 2020
RESULTS: All patients developed a V-pattern and upshoot in adduction. After strabismus surgery, normal eye alignment with some signs of binocularity was reached in all three patients. Moreover, the V-pattern and upshoot in adduction completely resolved.
Does Correction of Strabismus Improve Quality of Life in Children with Autism Spectrum Disorder: Results of a Parent Survey by Ophthalmologists
Published in Seminars in Ophthalmology, 2018
Pinar Altiaylik Ozer, Emrah Utku Kabatas, Burcu Kucuk Bicer, Sahin Bodur, Bengi Ece Kurtul
Strabismus surgery is performed to reestablish normal ocular alignment. In patients with a potential for binocularity, this realignment may restore normal binocular vision and stereopsis.18,19 Previous reports in this subject discuss the psychosocial benefits and improvement of interpersonal interactions of cases after strabismus surgery.13,18,19 The negative effects of strabismus on the physicosocial life of adults were studied by Satterfield et al.; self-esteem, employment prospects, interpersonal relationships, education, and playing sports were reported to be highly affected.20 It has previously been shown that strabismus has a negative psychosocial impact on patients of all ages.16,21,22 However, no similar study has been carried out in children with ASD.
Single horizontal rectus muscle vertical augmented transposition with posterior fixation suture in management of monocular elevation deficiency
Published in Strabismus, 2021
Angela C. Chen, Federico G. Velez, Mark Silverberg, Mica Bergman, Stacy L. Pineles
Monocular elevation deficiency (MED) is an ocular motility disorder characterized by limited elevation of the affected eye in all gazes and is associated with ipsilateral ptosis. Potential etiologies include inferior rectus muscle restriction, superior rectus muscle paresis, supranuclear palsy, and combined mechanisms.1,2 Strabismus surgery is indicated for patients with ocular misalignment in primary position associated with ocular torticollis, diplopia in primary gaze, amblyopia, or restricted binocular fields of vision.2 Surgery may require transferring muscles forces superiorly to replace the lack of active elevation. The classical procedure was described by Knapp and involves transposition of the horizontal recti tendons to the insertion of the superior rectus muscle,1 occasionally with simultaneous recession of the ipsilateral inferior rectus.1,3 Several modifications to the Knapp transposition have been described, including use of posterior fixation sutures, resection of transposed muscles, use of adjustable sutures, and most recently, single muscle transposition.2,4–14 Here we describe the outcomes of augmented single lateral rectus superior transposition in cases of acquired MED associated with large hypotropia in primary gaze.
Influence of one or two horizontal muscle surgeries on OCT findings
Published in Strabismus, 2021
Meryem guler alis, Abdulkadir alış
It has been reported that macular or retinal thickness increases after cataract surgery.7 The peripapillary retinal nerve fiber layer (RNFL) has also been shown to increase after cataract surgery, as determined with both SD-OCT8 and with scanning laser polarimetry.9 Strabismus surgery is a frequently performed ophthalmologic operation and may cause structural and functional changes in the eye. In previous studies, following strabismus surgery, ocular blood flow and anterior chamber volume changes, cystoid macular edema, and intraocular pressure changes due to postoperative axial length changes have been reported.10,11 Only a small number of published studies have examined the effects of strabismus and strabismus surgery on the macula and choroid, and their results vary.12–16 Although there are publications in the literature examining the effects of strabismus, amblyopia, and intraocular surgeries such as cataract surgery on the RNFL, no study to date has investigated the effect of strabismus surgery on the RNFL thickness.17,18
Related Knowledge Centers
- Diplopia
- Eye
- Fibrosis
- Mitomycin C
- Strabismus
- Surgery
- Binocular Vision
- Extraocular Muscles
- Minimally Invasive Strabismus Surgery
- Orthophoria