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Timely Surgery in Intermittent Exotropia 间歇性外斜视的及时手术治疗
Journal of Binocular Vision and Ocular Motility Pub Date : 2023-01-02 DOI: 10.1080/2576117X.2022.2152265
Carlos Antonio Jiménez-Romo, Andrea Rangel-Padilla, J. Páez-Garza
{"title":"Timely Surgery in Intermittent Exotropia","authors":"Carlos Antonio Jiménez-Romo, Andrea Rangel-Padilla, J. Páez-Garza","doi":"10.1080/2576117X.2022.2152265","DOIUrl":"https://doi.org/10.1080/2576117X.2022.2152265","url":null,"abstract":"ABSTRACT Introduction Surgical treatment of intermittent exotropia is indicated when periods of monocular deviation become longer or control over deviation deteriorates. However, there is no consensus on the ideal age to perform surgery in patients with intermittent exotropia. Purpose To evaluate ocular alignment and sensory results at 12 months of follow-up, in patients who received surgical treatment for intermittent exotropia at ≤4 years or >4 years. Methods A retrospective, observational, analytical, and comparative cohort study was carried out, which included 97 patients treated surgically for X(T), divided into two groups, ≤4 years and >4 years. The motor and sensory results of the patients were evaluated on the first day, 1 month and 12 months of postoperative follow-up. Results In this study, no statistically significant differences were observed in ocular alignment and postoperative sensory results at 1 year of follow-up between both groups. Conclusion Age is not a variable that influences surgical results in patients with intermittent exotropia. Instead of early or delayed surgery, we propose to use the term “timely surgery.”","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"73 1","pages":"21 - 27"},"PeriodicalIF":0.0,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41723975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bilateral Subluxation of Microspherophakic Lens in a Child with Cohen Syndrome. 科恩综合征儿童微球晶状体双侧半脱位。
Journal of Binocular Vision and Ocular Motility Pub Date : 2023-01-01
Elizabeth A Chu, Alexandria Cummings, Nicholas Sala, Nicholas Sala
{"title":"Bilateral Subluxation of Microspherophakic Lens in a Child with Cohen Syndrome.","authors":"Elizabeth A Chu,&nbsp;Alexandria Cummings,&nbsp;Nicholas Sala,&nbsp;Nicholas Sala","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Cohen Syndrome is a rare autosomal recessive condition characterized by facial abnormalities with or without microcephaly, non-progressive intellectual delay, hypotonia, ophthalmic abnormalities, and neutropenia. Due to its low incidence and variable presentation, much about the disorder, including ophthalmic manifestations, is not fully understood. Here, we present the first documented case of a 5-year-old Amish child with Cohen Syndrome who presented with bilateral subluxation of microspherophakic lenses - rare findings themselves, let alone coexisting in a patient with a rare genetic syndrome. The child underwent bilateral lensectomy and is being managed with aphakic spectacles.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"73 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10599899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Effect of Refractive Amblyopia on the Frisby Stereotest. 屈光性弱视对弗利斯比立体测试的影响。
Journal of Binocular Vision and Ocular Motility Pub Date : 2023-01-01
Kaajal D Nanda, Ken K Nischal
{"title":"The Effect of Refractive Amblyopia on the Frisby Stereotest.","authors":"Kaajal D Nanda,&nbsp;Ken K Nischal","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To identify the expected degree of stereoacuity measured by the Frisby Stereotest, in various degrees of unilateral refractive amblyopia.</p><p><strong>Methods: </strong>A prospective investigation of 22 patients, with a clinical diagnosis of unilateral refractive amblyopia. All patients were aged 4-12 years and seen between February and November 2021.All patients were recruited to the study at their first return visit with new glasses as prescribed by our physicians, following a cycloplegic refraction. All patients had a full orthoptic examination including the near Frisby Stereotest, visual acuity assessment, an induced tropia test (ITT) using a 20 base-in prism. A fixation preference qualified as amblyopia for the purpose of this study. All tests performed are part of our routine examination.</p><p><strong>Results: </strong>Regression analysis was performed on the data to identify a correlation between variables. We compared the Frisby scores with the maximum visual acuity difference between the eyes, the amblyopic visual acuity, the non-amblyopic visual acuity, and the spherical equivalent of the patients' refractions.Analysis revealed a strong relationship between both the visual acuity difference and the Frisby score (<i>r</i> = 0.64, <i>R</i><sup>2</sup> = 0.41), and the amblyopic visual acuity and Frisby score (<i>r</i> = 0.73, <i>R</i><sup>2</sup> = 0.53). There was no relationship between the anisometropia based on spherical equivalent refractions (<i>r</i> = 0.03, <i>R</i><sup>2</sup> = 0.0007).</p><p><strong>Conclusions: </strong>Given the moderate-to-strong correlation noted between visual acuity and stereoacuity, we suggest that the Frisby Stereotest can be utilized to imply possible refractive amblyopia and allow earlier intervention which may lead to more successful outcomes.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"73 1","pages":"7-10"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9106892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Isolated Sudden-Onset Trochlear Nerve Palsy Associated with Mild Novel Coronavirus Disease (COVID-19) Infection. 孤立性突发性滑车神经麻痹与轻度新型冠状病毒病(COVID-19)感染相关
Journal of Binocular Vision and Ocular Motility Pub Date : 2023-01-01
Mehmet Serhat Mangan, Zeynep Acar
{"title":"Isolated Sudden-Onset Trochlear Nerve Palsy Associated with Mild Novel Coronavirus Disease (COVID-19) Infection.","authors":"Mehmet Serhat Mangan,&nbsp;Zeynep Acar","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Purpose: </strong>To present a case of sudden isolated unilateral trochlear nerve palsy of new onset associated with a COVID-19 infection without a severe course.</p><p><strong>Methods: </strong>A 49-year-old previously healthy man suddenly noticed seeing double while going down the stairs to go out for the first time the day after the completion of medical treatment and home isolation for COVID-19. There was no systemic disease or history of trauma.</p><p><strong>Results: </strong>Magnetic resonance imaging of the brain and orbits was normal and the neurology examination revealed no pathology. The acute onset of the diplopia, the small vertical fusion amplitude, and the lack of facial asymmetry supported acquired trochlear nerve palsy.</p><p><strong>Conclusions: </strong>Trochlear nerve palsy has rarely been reported in association with the various types of viral infections. To the best of our knowledge, this is the first case of isolated unilateral trochlear nerve palsy with no additional neurological finding or any radiological finding that is possibly associated with mild SARS-CoV-2 infection.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"73 1","pages":"11-14"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10611368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Timely Surgery in Intermittent Exotropia. 间歇性外斜视的及时手术治疗。
Journal of Binocular Vision and Ocular Motility Pub Date : 2023-01-01
Carlos Antonio Jiménez-Romo, Andrea Rangel-Padilla, Juan Homar Páez-Garza
{"title":"Timely Surgery in Intermittent Exotropia.","authors":"Carlos Antonio Jiménez-Romo,&nbsp;Andrea Rangel-Padilla,&nbsp;Juan Homar Páez-Garza","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical treatment of intermittent exotropia is indicated when periods of monocular deviation become longer or control over deviation deteriorates. However, there is no consensus on the ideal age to perform surgery in patients with intermittent exotropia.</p><p><strong>Purpose: </strong>To evaluate ocular alignment and sensory results at 12 months of follow-up, in patients who received surgical treatment for intermittent exotropia at ≤4 years or >4 years.</p><p><strong>Methods: </strong>A retrospective, observational, analytical, and comparative cohort study was carried out, which included 97 patients treated surgically for X(T), divided into two groups, ≤4 years and >4 years. The motor and sensory results of the patients were evaluated on the first day, 1 month and 12 months of postoperative follow-up.</p><p><strong>Results: </strong>In this study, no statistically significant differences were observed in ocular alignment and postoperative sensory results at 1 year of follow-up between both groups.</p><p><strong>Conclusion: </strong>Age is not a variable that influences surgical results in patients with intermittent exotropia. Instead of early or delayed surgery, we propose to use the term \"timely surgery.\"</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"73 1","pages":"21-27"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9181128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Concomitant Unilateral Duane Retraction Syndrome and Contralateral Brown's Syndrome. 伴发单侧Duane回缩综合征和对侧Brown综合征。
Journal of Binocular Vision and Ocular Motility Pub Date : 2023-01-01
Arash Mirmohammadsadeghi, Mohammad Reza Akbari, Sahel Soltani Shahgholi
{"title":"Concomitant Unilateral Duane Retraction Syndrome and Contralateral Brown's Syndrome.","authors":"Arash Mirmohammadsadeghi,&nbsp;Mohammad Reza Akbari,&nbsp;Sahel Soltani Shahgholi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 10-year-old boy was introduced with a chief complaint of ocular misalignment from birth. Ocular examination indicated right Brown and left Duane retraction syndrome in a non-familial pattern. We suspect that a teratogenic damage or genetic mutation may be responsible for this combination.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"73 1","pages":"4-6"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10548327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reading Difficulty Due to Oculomotor Dysfunction following Mild Traumatic Brain Injury: A Case Report. 轻度外伤性脑损伤后动眼肌功能障碍所致阅读困难1例。
Journal of Binocular Vision and Ocular Motility Pub Date : 2023-01-01
Pritam Dutta, Ayisha Atiya, Smita Vittal, Jameel Rizwana Hussaindeen
{"title":"Reading Difficulty Due to Oculomotor Dysfunction following Mild Traumatic Brain Injury: A Case Report.","authors":"Pritam Dutta,&nbsp;Ayisha Atiya,&nbsp;Smita Vittal,&nbsp;Jameel Rizwana Hussaindeen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Reading involves adequate coordination of the oculomotor system. As interlink consists of neuronal control, an insult to the brain might affect the signal processing and lead to oculomotor dysfunction that can affect reading performance. Appropriate training to enhance the oculomotor coordination is effective in such scenarios. The purpose of this case report is to highlight the role of neuro-optometric vision therapy as a management option in oculomotor-based reading difficulty.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"73 1","pages":"15-20"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10557726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Characteristics of Acquired Diplopia in Adults 成人获得性复视的临床特点
Journal of Binocular Vision and Ocular Motility Pub Date : 2022-10-02 DOI: 10.1080/2576117X.2022.2124095
Alex Christoff
{"title":"Clinical Characteristics of Acquired Diplopia in Adults","authors":"Alex Christoff","doi":"10.1080/2576117X.2022.2124095","DOIUrl":"https://doi.org/10.1080/2576117X.2022.2124095","url":null,"abstract":"ABSTRACT Purpose To describe the common causes of symptomatic strabismus and treatment required to resolve diplopia in adult patients seen by one orthoptist. Patients and Methods Retrospective cross-sectional study of consecutive adult patients 18 years or older seen by one orthoptist over a 3-year period with a chief complaint of double vision. Results Two hundred twenty-four consecutive adult patients were examined by the author. Chief complaint was double vision, followed by blurred vision, monocular diplopia, and eye strain. Past ocular histories were significant for early-childhood strabismus in 23 patients. Amblyopia was identified in five patients. Hypertension was a medical risk factor most associated with symptomatic strabismus. Cranial nerve paresis was the most common cause of the strabismus followed by benign, age-related divergence insufficiency esotropia. Prism was the most common treatment in 53% of patients followed by Bangerter foil occlusion in 44 patients (20%). Strabismus surgery was recommended in 11 patients (5%). Manifest refraction was successful in resolving symptoms of binocular diplopia in nine heterophoric patients (5%). Opaque pirate style occlusion was not used for any patient in this series. Conclusions Symptomatic acquired esotropia was a common type of strabismus encountered by the author and trochlear nerve paresis a common cause of symptomatic strabismus in this retrospective cross-sectional study. Press-On™ or ground-in spectacle prism of 12 prism diopters or less resolved diplopia in 124 patients (55%).","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"72 1","pages":"243 - 247"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48614040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Evaluation and Management of Symptomatic Vertical Strabismus and Diplopia 对症性垂直斜视和复视的评估和治疗
Journal of Binocular Vision and Ocular Motility Pub Date : 2022-10-02 DOI: 10.1080/2576117X.2022.2094177
Joseph W. Fong, Laurie Hahn-Parrott, R. Siatkowski
{"title":"Evaluation and Management of Symptomatic Vertical Strabismus and Diplopia","authors":"Joseph W. Fong, Laurie Hahn-Parrott, R. Siatkowski","doi":"10.1080/2576117X.2022.2094177","DOIUrl":"https://doi.org/10.1080/2576117X.2022.2094177","url":null,"abstract":"ABSTRACT The evaluation and management of vertical strabismus is more challenging and nuanced than that of horizontal strabismus. Vertical strabismus often results from a variety of restrictive or paretic causes, which can be further characterized as either acquired or congenital. In some cases, identifying the correct etiology of the strabismus can mean uncovering a potentially life-threatening condition, such as a brain tumor or stroke. The keys to identifying the correct diagnosis are, first and foremost, a careful history, and secondly, a detailed examination. The characteristics, etiologies, and evaluation of vertical strabismus will be reviewed here.","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"72 1","pages":"226 - 229"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46083071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Acquired Diplopia in Adults: Heavy Eye Syndrome 成人后天性复视:重眼综合征
Journal of Binocular Vision and Ocular Motility Pub Date : 2022-10-02 DOI: 10.1080/2576117X.2022.2037400
S. Pineles
{"title":"Acquired Diplopia in Adults: Heavy Eye Syndrome","authors":"S. Pineles","doi":"10.1080/2576117X.2022.2037400","DOIUrl":"https://doi.org/10.1080/2576117X.2022.2037400","url":null,"abstract":"ABSTRACT Heavy eye syndrome is a condition that results in an acquired, progressive strabismus that is due to extreme myopia and long axial length. The underlying pathogenesis of the condition is due to prolapse of the supero-temporal aspect of the myopic globe causing displacement of the lateral and superior rectus muscles inferiorly and nasally, respectively. Treatments for heavy eye syndrome often target this anatomical defect and seek to re-place the globe within the extraocular muscle cone. This review will discuss current theories of pathogenesis and treatment of heavy eye syndrome.","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"72 1","pages":"223 - 225"},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48300679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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