Binocular vision & strabismus quarterly最新文献_第4页

Standard strabismus surgery in thyroid ophthalmopathy. 甲状腺眼病的标准斜视手术。

Binocular vision & strabismus quarterly Pub Date : 2009-01-01

Seung-Hyun Kim, Leemor Rotberg, Derek T Sprunger

{"title":"Standard strabismus surgery in thyroid ophthalmopathy.","authors":"Seung-Hyun Kim, Leemor Rotberg, Derek T Sprunger","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Techniques for the surgical treatment of thyroid related strabismus vary and include non-adjustable (standard), [postop'] adjustable suture, and a newer procedure aimed at correcting restriction rather than using dose/response tables.This study reports the results utilizing standard strabismus procedures for the treatment of thyroid ophthalmopathy.Methods: Charts of 31 consecutive patients who underwent surgery in the pst 5 years for restrictive strabismus secondary to thyroid ophthalmopathy were retrospectively reviewed. All surgery was performed by recession and reattachment of the muscle to the globe, allowing for no postoperative adjustment. Standard doses were used for all primary surgery and slightly modified in some cases of reoperation, but the general principal was from a standard published nomogram.Results: All 31 patients had preoperative diplopia and restricted motility. 22 patients wore prisms prior to surgery. Of the 31 patients who underwent surgery 9 required a second operation. After reoperation 5 patients (16%) continued to have diplopia. However, 4 of these patients were able to achieve single binocular vision with a small amount of prism. Only 2 patients were unable to achieve single binocular vision with or without prism. 22 patients (71%) had full ocular motility after surgery. After one surgery, 25 of 31 patients (81%) were satisfied with the results of surgery. This increased to 29 patients (94%) after reoperation.Conclusion: The results of this study indicated that strabismus surgery for restrictive thyroid ophthalmopathy using standard technique and table amounts of surgery can provide excellent results and patient satisfaction.","PeriodicalId":79564,"journal":{"name":"Binocular vision & strabismus quarterly","volume":"24 2","pages":"86-92"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28290816","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

Cycloplegic refractions in children who never wore and who always wore prescribed spectacles for refractive accommodative esotropia: exploring the natural history of this form of strabismus and the effect of treatment on their hyperopia. 从不配戴和总是配戴处方屈光调节性内斜视眼镜的儿童的单眼麻痹性屈光:探索这种形式的斜视的自然历史和治疗对他们远视的影响。

Binocular vision & strabismus quarterly Pub Date : 2009-01-01

Arif O Khan, Arif O Kahn

{"title":"Cycloplegic refractions in children who never wore and who always wore prescribed spectacles for refractive accommodative esotropia: exploring the natural history of this form of strabismus and the effect of treatment on their hyperopia.","authors":"Arif O Khan, Arif O Kahn","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To compare cycloplegic refractions in accommodative esotropes who never and who always wore prescribed spectacles.Methods: An institutional retrospective medical record review was performed for children with fully or partially refractive accommodative esotropia without neurological or other ocular disease. Only children with a least 3 years (y) follow-up, at least 2 separate cycloplegic refractions at least 3y apart, and clear documentation of full compliance and conplete non-complicance with prescribed spectacles were studied.Results: For the right eye, average youngest (less than 2y) and oldest (8-10Y) spherical equivalents were significantly lower in non-compliant children (3.3D [n=25] and 2.49D [n=13]) than in compliant children (5.5D [n=8] and 4.69D [n=25]). The differences in mean hyperopia between less than 2y and 8-10y for the non-compliant (-0.81D) and compliant (-0.84D) children were similar as were levels of mean cylinder.Conclusions: The differences in average spherical equivalent and average degree of astigmatism between less than 2y and 8-10 y (slight decrease and slight increase, respectively were similar for children who never and children who always wore prescribed glasses for refractive accommodatiave esotropia. Although full-time glasses wear did not appear to affect refractive shifts, limitations of this retrospective study include a lack of statistical power to detect differences less than 2D.","PeriodicalId":79564,"journal":{"name":"Binocular vision & strabismus quarterly","volume":"24 3","pages":"151-6"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28420066","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

Overaction of the inferior oblique muscle in 4th nerve palsy. 第四神经麻痹的下斜肌过度活动。

Binocular vision & strabismus quarterly Pub Date : 2009-01-01

Burton J Kushner

引用次数: 0

Cycloplegic refractions as a function of age in children with infantile esotropia. 婴儿内斜视儿童单眼麻痹性屈光与年龄的关系。

Binocular vision & strabismus quarterly Pub Date : 2009-01-01

Arif O Khan

{"title":"Cycloplegic refractions as a function of age in children with infantile esotropia.","authors":"Arif O Khan","doi":"","DOIUrl":"","url":null,"abstract":"Purpose: To describe cycloplegic refractions as a function of age in children with infantile esotropia.Methods: An institutional retrospective medical record review was performed for children with infantile esotropia. Only children with at least 3 years followup and at least 2 separate cycloplegic refractions at least 3 years apart were included. Children with developmental delay, neurological disorder, or other significant ocular disease were excluded. The spherical equivalents of the cycloplegic and the amounts of minus cylinder in diopters (D) were grouped according to patient age in years at the time of the refraction.(less than 2y, 2-4y, 5-7y, 8-10y), For the right eye, mean spherical equivalent and minus cylinder at less than 2y were compared with the 8-10y category. For these 2 comparisons, the alpha cutoff preset at 0.05/2=0.025.Results: One hundred thirteen patients were included in the study. Forty (35%) had initial amblyopia (12 [30%] mild, 25 [62%] moderate, 3 [8%] severe), which was treated with patching. Mean spherical equivalent (less than 2y, 1.73D, number of eyes [n] =61) decreased (8-10y, 1.3D, n=50) but the difference (-0.43D)was not significant by the unpaired 2-tailed t-test (p=0.052, 95% confidence interval [CI]: 0 to -0.86D). Mean minus cylinder (less than 2y, 0.39D) increased (8-10y, 0.71D) but the difference (0.32D) was not significant by the unpaired 2-tailed t-test (p=0.041, 95% CI:0.01 to 0.63D). Data for the left eye were similar.Conclusions: The average cycloplegic refraction of otherwise healthy children with infantile esotropia is a mild hyperopic spherical equivalent with mild astigmatism that is relatively stable during the first decade of life.","PeriodicalId":79564,"journal":{"name":"Binocular vision & strabismus quarterly","volume":"24 1","pages":"39-42"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28075222","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

Further implications of probable changes in medial rectus muscle innervation after surgery for infantile esotropia. 婴儿内斜视手术后内直肌神经支配可能改变的进一步意义。

Binocular vision & strabismus quarterly Pub Date : 2009-01-01

James L Mims

{"title":"Further implications of probable changes in medial rectus muscle innervation after surgery for infantile esotropia.","authors":"James L Mims","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: The conclusion that setting the eyes of an infantile esotrope (ET) straight with a successful bilateral medial rectus muscle reseccion (MROU) reduces the preoperative hyperinnervation of these muscles almost to normal may have special implications for the best principles of management of infantile ET not detailed in a recent paper by Mimms, III, Miller and Schoolfield.Methods: The same 113 infantile esotropes who provided data for the exoshift under anesthesia study had previously provided data for a dose-response curve. A simple geometric calculation was done to determine the amount of medial rectus (MR) recession necessary to compensate for contracture, and this was substracted from the dose-response value to reveal the additional mm of recession required to the MR sufficiently down the length-tension curve to compensate for the preoperative MR hyperinnervation.Results: The result of these calculations yielded a surprisingly narrow range of averaging 3.6 mm (range 3.2 to 3.8 mm) for a broad range of preoperative deviations (20 ET to 80 ET).Conclusions: The conclusions which may be drawn from this analysis include an understanding of why infantiles (and other) esotropias tend to increase in size in a few weeks or months if unteated, verification of the wisdom of the common practice of measuring the deviation no more than a day or two prior to the surgery, and the common observation that unilateral medial rectus recessions of a given amount will generally produce significantly less than half of the effect of a similarly-sized bilateral medial rectus recession. Finally, this understanding explains the poor success rate of surgery in the presence of dense amblyopia with eccentric fixation.","PeriodicalId":79564,"journal":{"name":"Binocular vision & strabismus quarterly","volume":"24 4","pages":"228-32"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28587103","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

Cul-de-sac incision for strabismus surgery in older patients. 老年性斜视手术中的死角切口。

Binocular vision & strabismus quarterly Pub Date : 2009-01-01

David K Coats

{"title":"Cul-de-sac incision for strabismus surgery in older patients.","authors":"David K Coats","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: A limbal surgical approach for strabismus surgery is often recommended for older patients, in the belief that the conjunctiva of older patients is too thin and prone to tear during surgery performed through a cul-de-sac incision. The purpose of this study was to evaluate the use of the cul-de-sac approach in patients more than 40 years of age.Methods: This is a retrospective analysis of consecutive patients more than 40 years of age who underwent strabismus surgery using a modified cul-de-sac approach to reduce manipulation of the conjunctiva during surgery.Results: A total of 32 cul-de-sac incisions were used to operate on 37 muscles in 19 consecutive patients more than 40 years old. The man age was 58 yeasr (41-77 years) with 8 patients (12 incisions) more than 60 years old. Absorbable sutures were used to close 28 of the incisions, with 19 incisions requiring 1 suture, 7 requiring 2 sutures, and 2 incisions in 2 patients requiring more than 2 sutures. Tears resulting in extension of the conjunctival incision occurred in several patients, but no other complications were encountered. One week following surgery, 28 (87.5%) of the incisions were well closed, while a small opening was noted with 4 (12.5%) of the incisions, but none required further intervention, and all healed well.Conclusion: Strabismus surgery can be performed through a cul-de-sac incision in older patients. Slight modifications of the surgical technique to prevent excessive manipulation of the incision and to reduce the risk of tearing the conjunctiva are helpful. The cul-de-sac approach offers some important potential advantages to older patients undergoing strabismus surgery.","PeriodicalId":79564,"journal":{"name":"Binocular vision & strabismus quarterly","volume":"24 4","pages":"233-5"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28587104","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 new electronic version of BVSQ. 阅读新版BVSQ。

Binocular vision & strabismus quarterly Pub Date : 2008-01-01

Burton J Kushner, Paul E Romano

引用次数: 0

Tent photoscreening and patched HOTV visual acuity by school nurses: validation of the ASD-ABCD protocol. (Anchorage School District- Alaska Blind Child Discovery program). 学校护士帐篷摄影筛查和HOTV视力补丁:ASD-ABCD方案的验证。(安克雷奇学区-阿拉斯加盲童发现计划)。

Binocular vision & strabismus quarterly Pub Date : 2008-01-01

Robert W Arnold, Lee Stark, Rachel Leman, Koni K Arnold, M Diane Armitage

{"title":"Tent photoscreening and patched HOTV visual acuity by school nurses: validation of the ASD-ABCD protocol. (Anchorage School District- Alaska Blind Child Discovery program).","authors":"Robert W Arnold, Lee Stark, Rachel Leman, Koni K Arnold, M Diane Armitage","doi":"","DOIUrl":"","url":null,"abstract":"Background: Novel objective tests of risk factors for amblyopia offer an alternative for preschool vision screening. We compared the merits of photoscreening versus portable patched acuity testing in elementary schools. Photoscreening may outperform routine acuity testing in pediatric offices; however, both have fairly good validity when performed by specialists in preschool vision screening.Methods: School nurses performed patched HOTV surround acuity testing and two types of photoscreening (MTI and Gateway DV-S20) in a portable tent near each classroom.Results: 1700 children (696 1st grade, 710 Kindergarteners and 271 special-needs pre-Kindergarten). 14% had comprehensive exams and another 65% had normal photoscreens combined with patched acuities of 20/20 or better OU. We estimate the overall sensitivity/specificity using AAPOS guidelines for the modalities to be 39%:99% for patched HOTV acuity, 77%:99% for MTI photoscreening, and 85%:98% for Gateway photoscreening. The specificity of acuity testing was particularly low in pre-K due to 33% unable to complete the test, but about 80% of initial acuity failures were able to pass with pinhole.Conclusion: Tent photoscreening in younger elementary school children was more sensitive and faster than patched acuity particularly in developmentally delayed pre-K children.","PeriodicalId":79564,"journal":{"name":"Binocular vision & strabismus quarterly","volume":"23 2","pages":"83-94"},"PeriodicalIF":0.0,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27596601","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

Monitors and civility, followups, nystagmus from guitar hero! Pediatric cataracts: review; monocular elevation deficiency strabismus. 监视器和礼仪，后续动作，《吉他英雄》里的眼球震颤!儿童白内障:综述;单眼仰角缺乏性斜视。

Binocular vision & strabismus quarterly Pub Date : 2008-01-01

Paul E Romano

引用次数: 0

Civility, our loss of; a couple of champions for it; definitive standards for eye/vision screening; binocular vision stereopsis changes from head tilt; AAPOS Meeting Report. 文明，是我们的损失;几个冠军;眼睛/视力筛查的最终标准;头部倾斜对双目视觉立体视觉的影响AAPOS会议报告。

Binocular vision & strabismus quarterly Pub Date : 2008-01-01

Paul E Romano

引用次数: 0