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Single case report of horizontal gaze paresis due to medial pontine haemorrhage

The authors report a single case (80-year-old female) of bilateral horizontal conjugate gaze palsy due to a dorsal median pontine haemorrhage. The patient presented with skew deviation, bilateral horizontal conjugate gaze palsy, vertical gaze palsy, ipsilateral lower motor neuron facial...

Fixation target position for increased limbus measurement accuracy with AS-OCT

The authors intended to determine the optimal gaze fixation points for lateral rectus and medial rectus muscle insertions using anterior segment - optical coherence tomography (AS-OCT) compared with intraoperative measurements. They recorded 46 lateral and 36 medial rectus muscles from...

An unusual presentation of dysthyroid orbitopathy

The authors present a case of a 50-year-old male smoker who presented with bilateral gaze evoked amaurosis (GEA), i.e. the patient was aware of loss of vision in all gaze positions other than the primary position. The patient was being...

Clinical characteristics, risk factors and treatment outcomes of adult AACE

This study analyses the clinical characteristics, risk factors and treatment outcomes of adult patients diagnosed with acute acquired comitant esotropia (AACE) with small angle deviations. This was a retrospective study of 16 patients (10 males) with mean age of 36.94...

Exotropic Moebius syndrome

Three patients are described with pattern C Moebius syndrome and report the technique and outcomes of surgery for two patients. The three cases included a three and a 13-year-old requiring surgery and a 10-year-old. All patients had absent horizontal gaze...

Superior oblique posterior tenotomy for orbital fracture strabismus

The use of superior oblique posterior tenotomy (SOPT) is reported as a primary procedure in five patients with orbital blowout fractures. The mean follow-up was 15.2 months (6-20). Two patients required further surgery because of a larger vertical deviation. SOPT...

Surgery for unilateral superior oblique palsy

This study evaluates the amount of effectiveness of inferior oblique myectomy in primary position, lateral gaze and head tilt, and the effect on improving extent of abnormal head posture. The study included 39 patients; 22 male, 25 left-sided palsy and...

Augmented surgery for monocular elevation deficiency

The outcomes are described for augmented lateral rectus superior transposition in cases of acquired monocular elevation deficiency (MED) associated with large hypotropia in primary gaze. The lateral rectus was transposed superiorly and reinserted on sclera between the temporal margin of...

Detection of SO tendon abnormality versus atrophy

This study aimed to evaluate patterns of binocular misalignment in primary gaze, lateral and vertical gaze, and head tilt in patients showing head-tilt dependent hypertropia associated with discontinued superior oblique (SO) tendon but without SO muscle atrophy, versus patients with...

Differential diagnosis of sagging eye syndrome and superior oblique palsy using objective and subjective measurements

The authors compared subjective cyclovertical deviation in different gaze positions and objective ocular torsion between elderly patients with sagging eye syndrome (CSES) and superior oblique palsy (SOP) diagnoses from clinical findings with a view that subjective and objective measures may...

Reliability and repeatability of Harms tangent screen measurements

This study investigated the intraobserver reliability and repeatability of the Harms tangent screen (HTS) in patients with diplopia due to concomitant, paralytic or restrictive strabismus in a prospective study of 58 patients (46.6% female). Mean age was 54 ±17.12 years,...