You searched for "diplopia"
Surgical management and review of congenital inferior rectus dysgenesis
Three cases are presented of congenital inferior rectus (IR) dysgenesis causing hypertropia. Case 1 was a two-year-old female with intermittent vertical strabismus of 20PD and -2 limitation on depression, worse in abduction. MRI imaging showed a hypoplastic IR. Following surgery,...
Outcomes for acute acquired non-accommodative comitant esotropia
Outcomes are reported in a retrospective review of 338 patients with acute acquired non-accommodative comitant esotropia (AACE). Mean age at presentation was 12.60 ±9.37 years and 220 were male, 118 female. Best corrected visual acuity was 0.2 ±0.29 logMAR overall;...
Medial rectus inferior half plication surgery for near exotropia
In this study the authors report a relatively new surgical treatment for near exotropia. The study included 17 patients: four with previous surgery and all with medial rectus injection of bupivacaine to reduce the angle of deviation. Treatment involved inferior...
Efficacy of augmented-dosed surgery versus botulinum toxin A injection for acute acquired concomitant esotropia
This is a retrospective study of 104 patients diagnosed with acute acquired concomitant esotropia (AACE) between 2020 and 2022. Potential factors that influence the dose-response of bilateral medial rectus recession (MRec) and the rate and risk factors for ACCE relapse...
BTA as a first-line treatment option for acute acquired comitant esotropia
This study presents results of a single-centre institute use of botulinum toxin A (BTA) as an initial treatment choice for acute acquired comitant esotropia (AACE). This was a prospective observational case series study of 72 patients (49 male, 23 female)...
Surgical management of 2 cases of synergistic adduction during elevation; aberrant regeneration
The authors present 2 cases with unusual findings of aberrant regeneration of the third cranial nerve palsy with coexisting sixth cranial nerve palsy. The first case was a 44-year-old male with head trauma from a road traffic accident. The second...
Use of reduced volume BT as a treatment option for acute onset comitant esotropia
In this study, the effectiveness and safety of botulinum toxin (BT) for patients with acute acquired comitant esotropia (AACE) and deviation ≤25PD was investigated with comparison of results to conservative prism therapy. Botulinum toxin was undertaken without electromyographic guidance and...Unravelling ocular motility
Ocular motility can often be a slightly abstract concept during the earlier years of ophthalmology training. A large variance on what embodies normality; mythical concepts like fusion and binocular vision, examination techniques that can be fiddly, and complex neuroanatomy all...A case of Miller Fisher Syndrome and bilateral asymmetric globe retraction
Miller Fisher syndrome (MFS) is a rare, acquired nerve disease that is considered to be a variant of Guillain-Barré syndrome. It was first recognised by James Collier in 1932 as a clinical triad of ataxia, areflexia and ophthalmoplegia. Later, it...
The dynamic nature of orbital cavernous haemangiomas
This paper seeks to address the question of how much do orbital cavernous haemangiomas actually change over time, and if there are any identifiable factors which can predict which lesions will grow and which will remain stable. In particular, if...
Superior oblique muscle tuck
The authors investigate the efficacy and safety of isolated superior oblique tucking in patients with congenital superior oblique palsy. The study includes 21 cases: eight females and 13 males aged 2-34 years. All had obvious superior oblique under action and...
