Journal of Binocular Vision and Ocular Motility最新文献

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Divergence Insufficiency Esotropia Associated with Excessive Near Work During the Coronavirus Pandemic. 冠状病毒大流行期间与过度近距离工作相关的散度不全内斜视
Journal of Binocular Vision and Ocular Motility Pub Date : 2026-01-01 Epub Date: 2026-01-30 DOI: 10.1080/2576117X.2026.2615499
Sepideh Tavakolizadeh, Mohammad Reza Akbari, Mehdi Khabazkhoob, Mohammad Mehrpour
{"title":"Divergence Insufficiency Esotropia Associated with Excessive Near Work During the Coronavirus Pandemic.","authors":"Sepideh Tavakolizadeh, Mohammad Reza Akbari, Mehdi Khabazkhoob, Mohammad Mehrpour","doi":"10.1080/2576117X.2026.2615499","DOIUrl":"10.1080/2576117X.2026.2615499","url":null,"abstract":"<p><strong>Purpose: </strong>The COVID-19 lockdown has had a profound impact on people's lifestyles - especially the youth - through school closures and home confinement. Accordingly, the excessive use of smartphones and digital devices made adolescents vulnerable to the adverse effects of excessive near work on the eyes.</p><p><strong>Method: </strong>Four adolescents (10-17 years) with acute acquired divergence insufficiency esotropia were evaluated.</p><p><strong>Results: </strong>The mean age of our patients was 14 years old (10-17). Their mean deviation at distance was 32.5 PD (25-40 PD), and their mean near deviation was 13 PD (8-20 PD). All patients had normal neurological examinations and exhibited normal brain and orbital MRI results. Excessive near work with digital devices such as smartphones after the COVID-19 lockdown was the only risk factor identified. All cases were successfully treated with bilateral lateral rectus resection. A 3.5- to 5.5-mm bilateral lateral rectus resection corrected 25 to 40 PD esotropia at distance without overcorrection at near.</p><p><strong>Conclusion: </strong>Decreased outdoor activities and excessive near work during the COVID-19 pandemic could be associated with divergence insufficiency esotropia in adolescents. Bilateral lateral rectus resection is an acceptable surgical treatment.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":" ","pages":"10-15"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087089","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
Selective Nasal Anterior Superior Oblique Tenectomy for the Treatment of Superior Oblique Myokymia. 选择性鼻前上斜肌腱切除术治疗上斜肌肌瘤。
Journal of Binocular Vision and Ocular Motility Pub Date : 2026-01-01 Epub Date: 2026-03-03 DOI: 10.1080/2576117X.2026.2636321
Brandon Francis, Michelle Go, Stacy L Pineles, Federico G Velez
{"title":"Selective Nasal Anterior Superior Oblique Tenectomy for the Treatment of Superior Oblique Myokymia.","authors":"Brandon Francis, Michelle Go, Stacy L Pineles, Federico G Velez","doi":"10.1080/2576117X.2026.2636321","DOIUrl":"10.1080/2576117X.2026.2636321","url":null,"abstract":"<p><p>Superior oblique myokymia is a rare condition characterized by spontaneous episodes of high frequency, low amplitude, usually unilateral torsional oscillopsia. Surgical treatment is indicated when medical therapy fails to improve symptoms. The traditional surgical recommendation is an ipsilateral full-tendon superior oblique tenectomy to remove all attachments of the superior oblique tendon to the sclera. This approach will likely result in a secondary superior oblique palsy, requiring simultaneous weakening of the ipsilateral inferior oblique muscle. We report a patient presenting with diplopia and oscillopsia in the setting of superior oblique paresis and myokymia with persistent symptoms after initial superior oblique tuck. An alternative surgical approach consisting of superior oblique anterior one-third nasal tenectomy and contralateral inferior rectus recession resulted in marked improvement of oscillopsia associated with superior oblique myokymia while minimizing the risk of inducing downgaze diplopia often observed with superior oblique tenectomy.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":" ","pages":"16-18"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345350","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
Looking Backward, Yet Glancing Forward. 回顾过去,展望未来。
Journal of Binocular Vision and Ocular Motility Pub Date : 2025-10-01 Epub Date: 2026-01-22 DOI: 10.1080/2576117X.2026.2615496
Burton Kushner
{"title":"Looking Backward, Yet Glancing Forward.","authors":"Burton Kushner","doi":"10.1080/2576117X.2026.2615496","DOIUrl":"https://doi.org/10.1080/2576117X.2026.2615496","url":null,"abstract":"","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"75 4","pages":"93-94"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031009","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
Congenital Optic Disc Anomalies-A Picture is Worth a Thousand Words! 先天性视盘异常——一张图胜过千言万语!
Journal of Binocular Vision and Ocular Motility Pub Date : 2025-10-01 Epub Date: 2026-01-22 DOI: 10.1080/2576117X.2025.2575553
Robert E Wiggins
{"title":"Congenital Optic Disc Anomalies-A Picture is Worth a Thousand Words!","authors":"Robert E Wiggins","doi":"10.1080/2576117X.2025.2575553","DOIUrl":"https://doi.org/10.1080/2576117X.2025.2575553","url":null,"abstract":"<p><p>Congenital optic disc anomalies are uncommon causes of vision loss that may be recognized shortly after birth but may also be identified in later childhood and sometimes well until adulthood. They may be unilateral or bilateral and isolated or associated with other systemic findings. In some conditions the origin of the developmental abnormality is understood as in the case of optic disc colobomas resulting from failure of closure of the embryonic fissure whereas in others the cause is hypothetical. Recognition of these anomalies is usually by direct observation though ancillary testing may aid in the diagnosis. Understanding the spectrum of congenital optic disc anomalies can help the clinician with diagnosis and treatment, counsel the patient and their family regarding prognosis, and to recognize when further evaluation is indicated.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"75 4","pages":"108-116"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031027","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
Under Pressure: Increased Intracranial Pressure in Infants and Children. Presented at the 2024 AOC/AACO/AAO Sunday Symposium. 压力下:婴儿和儿童颅内压增高。在2024年AOC/AACO/AAO周日研讨会上发表。
Journal of Binocular Vision and Ocular Motility Pub Date : 2025-10-01 Epub Date: 2026-01-22 DOI: 10.1080/2576117X.2025.2548363
Tiffany Yuen, Aarti Vyas, Sameea Tahir, Melinda Chang
{"title":"Under Pressure: Increased Intracranial Pressure in Infants and Children. Presented at the 2024 AOC/AACO/AAO Sunday Symposium.","authors":"Tiffany Yuen, Aarti Vyas, Sameea Tahir, Melinda Chang","doi":"10.1080/2576117X.2025.2548363","DOIUrl":"https://doi.org/10.1080/2576117X.2025.2548363","url":null,"abstract":"<p><p>Intracranial hypertension (ICH) in children refers to increased pressure within the skull. The skull normally contains the brain, blood vessels, meninges, and cerebrospinal fluid (CSF). Abnormalities in any of these intracranial structures may cause ICH. The differential diagnosis for pediatric ICH includes brain tumors; intracranial hemorrhages; intracranial infections; craniosynostosis; disorders of CSF production, clearance, or abnormal CSF contents; and pseudotumor cerebri syndrome (PTCS), which may be primary (also known as idiopathic intracranial hypertension [IIH]) or secondary. Children with suspected ICH should undergo a thorough history and examination, focused on determining whether the child has papilledema and/or abducens nerve palsy. The differential diagnosis of papilledema includes other causes of optic disc edema, such as optic neuritis, as well as pseudopapilledema. The differential diagnosis of abducens nerve palsy includes Duane syndrome and other causes of childhood esotropia. In children with suspected papilledema, ancillary ophthalmic testing including visual fields, optical coherence tomography (OCT), fundus photography, autofluorescence, fluorescein angiography, and ultrasonography may be indicated. The systemic workup for children with suspected ICH includes neuroimaging and lumbar puncture in certain cases. Management of children with ICH is focused on treating any underlying cause and lowering intracranial pressure with medications or surgery.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":"75 4","pages":"95-107"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146030999","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
Traumatic Carotid-Cavernous Fistula in a Child with Nasal Penetrating Injury. 儿童鼻穿透伤外伤性颈海绵状瘘1例。
Journal of Binocular Vision and Ocular Motility Pub Date : 2025-07-01 Epub Date: 2026-01-09 DOI: 10.1080/2576117X.2025.2594123
Hamidreza Hasani, Mohammad Ghorbani, Sima Sheikhghomi, Alireza Mahmoudi
{"title":"Traumatic Carotid-Cavernous Fistula in a Child with Nasal Penetrating Injury.","authors":"Hamidreza Hasani, Mohammad Ghorbani, Sima Sheikhghomi, Alireza Mahmoudi","doi":"10.1080/2576117X.2025.2594123","DOIUrl":"10.1080/2576117X.2025.2594123","url":null,"abstract":"<p><strong>Background: </strong>Traumatic penetrating carotid-cavernous fistula (CCF) is an uncommon complication of craniofacial trauma, particularly in pediatric patients. Prompt recognition is essential to prevent irreversible visual and neurological deficits.</p><p><strong>Case presentation: </strong>We describe a 2.5-year-old boy who sustained a penetrating nasal injury caused by a screwdriver. He initially presented with epistaxis and subsequently developed left-sided proptosis, chemosis, and restricted ocular motility. Early imaging studies were inconclusive, and orbital cellulitis was initially suspected.</p><p><strong>Diagnosis and management: </strong>A delayed diagnosis of a direct (Type A) CCF was ultimately confirmed using digital subtraction angiography (DSA). The patient underwent successful endovascular embolization combined with internal carotid artery (ICA) stenting.</p><p><strong>Conclusion: </strong>This case highlights the need for a high index of suspicion for CCF in children presenting with atypical orbital findings following facial trauma, even when initial imaging doesn't reveal definitive pathology.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":" ","pages":"81-84"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145935500","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
Everyday Consequences of Childhood Intermittent Exotropia. 儿童间歇性外斜视的日常后果。
Journal of Binocular Vision and Ocular Motility Pub Date : 2025-07-01 Epub Date: 2025-11-06 DOI: 10.1080/2576117X.2025.2579357
Reed M Jost, Kartik Kumar, Lori M Dao, Becky Luu, Anastasia A Alex, Brooke A Koritala, Christina Cheng-Patel, Krista R Kelly, Eileen E Birch
{"title":"Everyday Consequences of Childhood Intermittent Exotropia.","authors":"Reed M Jost, Kartik Kumar, Lori M Dao, Becky Luu, Anastasia A Alex, Brooke A Koritala, Christina Cheng-Patel, Krista R Kelly, Eileen E Birch","doi":"10.1080/2576117X.2025.2579357","DOIUrl":"10.1080/2576117X.2025.2579357","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the impact of intermittent exotropia (IXT) on eye-related quality of life (ERQOL), reading speed, motor skills, and self-perception in children.</p><p><strong>Patients and methods: </strong>Fifty-one children with basic or pseudo divergence excess IXT (4-13y) were assessed with the triple office control score, a graded clinical measure of exotropia control. Children with IXT also completed at least one of four behavioral evaluations, including ERQOL (PedEyeQ), reading speed (Readalyzer), motor skills (Movement Assessment Battery for Children-2), and self-perception (Self-perception Profile for Children), along with visual acuity and stereoacuity. Results were compared to those of age-matched controls (<i>n</i> = 353) and associations with IXT control score were analyzed.</p><p><strong>Results: </strong>Children with IXT and their parent had significantly lower ERQOL scores in all domains compared to controls (Ps < .001). Reading speed was comparable to controls (<i>p</i> = .66). However, children with IXT showed poorer Manual Dexterity (Ps < .001) and Aiming and Catching motor skills (<i>p</i> = .009) in older children. Older children reported lower self-perception in Scholastic competence, Social competence, Athletic competence, and Physical appearance domains (Ps < .05). Worse IXT control scores were associated with lower self-perception of Cognitive/Scholastic competence and Maternal acceptance.</p><p><strong>Conclusion: </strong>Children with IXT experience reduced ERQOL, impaired motor skills, and lower self-perception. These findings highlight the broad developmental impact of IXT, beyond visual function.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":" ","pages":"69-80"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459928","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
Orbital Apex Syndrome Secondary to Middle Cranial Fossa Meningocele: A Rare Pediatric Case. 眶尖综合征继发于中颅窝脑膜膨出:一例罕见的儿童病例。
Journal of Binocular Vision and Ocular Motility Pub Date : 2025-07-01 Epub Date: 2026-01-06 DOI: 10.1080/2576117X.2025.2597863
Konstantin Gushansky, Mohamad Zaghal
{"title":"Orbital Apex Syndrome Secondary to Middle Cranial Fossa Meningocele: A Rare Pediatric Case.","authors":"Konstantin Gushansky, Mohamad Zaghal","doi":"10.1080/2576117X.2025.2597863","DOIUrl":"10.1080/2576117X.2025.2597863","url":null,"abstract":"<p><strong>Background: </strong>Orbital apex syndrome (OAS) is a rare, sight-threatening condition caused by injury or compression of neurovascular structures in the orbital apex, which, depending on the underlying etiology, may even pose a life-threatening risk. Prompt recognition and intervention are essential to prevent permanent visual loss and systemic complications.</p><p><strong>Case presentation: </strong>We report a 10-year-old child presenting with acute left-sided proptosis, eyelid edema, ophthalmoplegia, and optic disc edema, following a history of orbital cellulitis and meningitis in early childhood. Imaging revealed a middle cranial fossa meningocele (MEC) extending into the orbital apex, associated with sinusitis and purulent meningitis. Ophthalmic examination demonstrated severe restriction of left-eye movements, proptosis, and a relative afferent pupillary defect. A multidisciplinary team - including ophthalmology, neurology, ENT, and radiology - initiated urgent intravenous antibiotics, resulting in rapid systemic and ocular improvement. The patient subsequently underwent cranial osteoplasty to repair the skull base defect. At discharge and four-month follow-up, visual acuity was normal, extraocular movements had largely recovered, and imaging showed intact retinal nerve fiber layers.</p><p><strong>Conclusion: </strong>This case underscores the importance of early recognition and collaborative management in OAS. Middle cranial fossa meningoceles, though rare, should be considered among potential structural causes of orbital apex compression.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":" ","pages":"85-91"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913257","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
A Convenient Method to Estimate Alignment of Eyes Under General Anesthesia in Strabismus Subjects. 一种估计斜视患者全身麻醉下眼睛对准的简便方法。
Journal of Binocular Vision and Ocular Motility Pub Date : 2025-04-01 Epub Date: 2025-10-20 DOI: 10.1080/2576117X.2025.2565878
Isabel Deboutte, Léopoldine Lequeux, Christelle Bonifas, Nicolas Molinari, Dominique Thouvenin
{"title":"A Convenient Method to Estimate Alignment of Eyes Under General Anesthesia in Strabismus Subjects.","authors":"Isabel Deboutte, Léopoldine Lequeux, Christelle Bonifas, Nicolas Molinari, Dominique Thouvenin","doi":"10.1080/2576117X.2025.2565878","DOIUrl":"10.1080/2576117X.2025.2565878","url":null,"abstract":"<p><p><b>Introduction:</b> This study aims to describe an objective and simple method to estimate the alignment of eyes under general anesthesia (GA) in strabismus subjects, which may vary from the angle measured preoperatively.<b>Materials and Methods:</b> Through the operating microscope, pictures of the eye position of 94 subjects with horizontal strabismus were captured under GA. A curved caliper was placed parallel to the horizontal meridian, and the distance between the center of cornea and the corneal reflex spot of the microscope was measured. The eye position was estimated with a quantified Hirschberg method for each eye, and the values were added to reflect the global binocular angle of deviation. To validate this method, four strabismus surgeons blindly evaluated the strabismus angle based on these pictures, and the results were compared. Agreement between the four measurements was estimated using the ICC (Intraclass Correlation Coefficient) index.<b>Results:</b> ICC coefficients and their 95% confidence interval were 0.93 (0.88-0.95) for the overall angle, 0.91 (0.89-0.94) for the right eye and 0.86 (0.77-0.91) for the left eye, indicating good to excellent reliability of these measurements.<b>Conclusion:</b> Evaluating the evolution of the strabismus under GA may be of clinical interest and have potential therapeutical consequences. The described technique is fast, convenient, and reliable and provides a tool to encourage surgeons to take into account this parameter of strabismus.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":" ","pages":"63-67"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330257","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
Magnetic Resonance Imaging of Extra Ocular Muscles and Oculomotor Nerves in Patients with Congenital Monocular Elevation Deficit. 先天性单眼抬高缺陷患者眼外肌和动眼神经的磁共振成像。
Journal of Binocular Vision and Ocular Motility Pub Date : 2025-04-01 Epub Date: 2025-08-11 DOI: 10.1080/2576117X.2025.2533547
Simranjeet Aulakh, Virender Sachdeva, Dandu Ravi Varma, Ashik Mohamed, Ramesh Kekunnaya
{"title":"Magnetic Resonance Imaging of Extra Ocular Muscles and Oculomotor Nerves in Patients with Congenital Monocular Elevation Deficit.","authors":"Simranjeet Aulakh, Virender Sachdeva, Dandu Ravi Varma, Ashik Mohamed, Ramesh Kekunnaya","doi":"10.1080/2576117X.2025.2533547","DOIUrl":"10.1080/2576117X.2025.2533547","url":null,"abstract":"<p><strong>Background: </strong>There is sparse literature on radiological findings in cases of monocular elevation deficit (MED). We conducted this study to report magnetic resonance imaging (MRI) characteristics of extra-ocular muscles and oculomotor nerves in patients with congenital MED and to investigate its patho-mechanisms.</p><p><strong>Methods: </strong>We included patients with congenital MED without prior strabismus surgery. The cross-sectional area (CSA) of the extra-ocular muscles in quasi-sagittal and quasi-coronal scans was measured manually on 2-mm-thick T2-weighted MRI images using Osirix MD software. Oculomotor nerves were imaged with balanced steady state free precession (bFFE) sequence. Clinical findings of Bell's phenomenon and forced duction test (FDT) for inferior rectus (IR) muscle were recorded.</p><p><strong>Results: </strong>Eleven patients were included. The median CSA of superior rectus (SR) muscle at mid-orbit section was significantly lesser in the affected eye (8.83 mm<sup>2</sup>, Inter-quartile range (IQR): 5.39-11.36 mm<sup>2</sup>) than in the normal eye (13.63 mm<sup>2</sup>, IQR: 10.99-16.92 mm<sup>2</sup>), <i>p</i> = .02. From 11 patients, 10 had a thinner SR muscle on the affected side. Bell's phenomenon was intact in six patients. Forced duction test was positive for IR muscle in five cases. Oculomotor nerve was thinner on the affected side in two patients.</p><p><strong>Conclusions: </strong>Majority patients with congenital MED have a hypotrophic SR muscle, due to dysinnervation or primary muscle pathology. Bell's phenomenon may or may not be present in these conditions, and its presence does not warrant a supra-nuclear cause.</p>","PeriodicalId":37288,"journal":{"name":"Journal of Binocular Vision and Ocular Motility","volume":" ","pages":"47-55"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817785","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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