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1104 results found

BT vs primary surgery for infantile esotropia

In this study, the success rate of treatment for infantile esotropia (IET) patients who had surgery because of under correction after botulinum toxin (BT) is compared to those having primary surgery. The study included 52 patients (27 male) with mean...

Long-term motor and sensory outcomes after surgery for high AC/A ratio esotropia

This study reports the long-term ocular alignment and sensory outcomes after medial rectus recession for high accommodative convergence to accommodation (AC/A) ratio esotropia with a minimum postoperative follow-up of five years. The study included 34 patients (16 male); 31 had...

Systematic review of management options for intermittent exotropia

The authors conduct a robust systematic review of the literature to report evidence on non-surgical and surgical treatment options for intermittent exotropia – divergence excess and basic intermittent exotropia types. Discussion centres on (1) optical correction of refractive error with...

Causes of abnormal head postures – literature review

Yadegari reports a narrative literature review for abnormal head postures (AHPs) with discussion on different causes. This review summarises the control of a normal head posture before discussing differences of ocular vs non-ocular AHPs. Ocular AHPs may be adopted to...

The use of virtual reality in paediatric ophthalmology

The purpose of this study was to investigate the utility of virtual reality (VR) in the broader field of paediatric ophthalmology with review of examination, screening, diagnosis, prevention and treatment. This review also explores the potential of eye tracking used...

Short-term instability of surgical correction of IXT

In this retrospective observation study from southern India, the authors aimed to evaluate the progression of intermittent exotropia (IXT) following surgical correction and its contributing factors in 50 patients. Mean age at surgery was 10 years (range 6–14), 26 were...

Results of bilateral medial rectus recession combined with either BT or bridge Faden when treating large angle strabismus

In a series of 26 patients (11 female, 15 male) with large angle esotropia >35PD, the authors compared results of botulinum toxin A (BTA) and bridge Faden operation combined with bilateral medial rectus (BMR) recession. Overall age of surgery was...

The paediatric cataract: an overview of the diagnosis and management

In this second article (see first article here), Samuel Aryee and Rhys Dumont Jones review the challenges involved in managing this condition. Examination and diagnosis Cataracts in children can appear in a variety of forms, each presenting in a different...

Internuclear ophthalmoplegia: a case study

A 44-year-old patient presents with binocular, mostly horizontal diplopia when fixating on moving objects. This has been ongoing for approximately five years. He is known to have multiple sclerosis and had an episode of optic neuritis six years prior in...

Refractive changes after surgery

A long-term follow-up study was conducted to report power vector analysis of refractive astigmatic changes in a large group of 137 patients (250 eyes) undergoing horizontal strabismus surgery. Fifty-four percent were male. The average age was 9.22±8.21 years. Fifty-five percent...

Surgical treatment for monocular elevation deficit

Type 1 monocular elevation deficiency is a restrictive form identified by positive results on forced duction testing in elevation, normal elevation forced generation test, elevation of saccadic velocity and absence of poor Bell’s phenomenon. The authors aimed to evaluate the...

Paralytic strabismus in Parry-Romberg syndrome

Parry-Romberg syndrome is a progressive hemifacial atrophy with idiopathic craniofacial disorder characterised by slowly progressive atrophy of soft tissues on one side of the face. A case is presented of acquired monocular elevation deficit in a child without restrictive component....