Convergence excess esotropia treated surgically with fadenoperation and medical rectus muscle recessions.

Leitch, R J; Burke, John P.; Strachan, I. M.

doi:10.1136/bjo.74.5.278

Cited by 44 publications

(33 citation statements)

References 8 publications

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“…Ambliyopi çeşitlerinin hepsinin tedavisinde ilk yapılması gereken hastanın var olan refraksiyon kusurunun tam olarak düzeltilmesidir (36). Refraksiyon kusurlarını belirlemek için mutlaka sikloplejik muayene sonrası retinoskopi ve uygun düzeltme yapılmalıdır.…”

Section: Refraksiyon Kusurunun Düzeltilmesiunclassified

Ambliyopide Son Durum

Yaşar

2017

Osmangazi̇ Journal of Medicine

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Özet: Ambliyopi, organik bir göz patolojisi olmamasına rağmen görme keskinliğinde tek veya çift taraflı azalma olmasıdır. Çocuklar ve genç erişkinlerde tek taraflı görme azlığının en sık sebepi ambliyopi olup genel toplumda görülme sıklığı %1-5 arasında değişmektedir. Ambliyopide kritik yaş ilk 4 yaş olmakla birlikte 6-7 yaşta saptanan olgularda tedavi ile başarı şansı yüksektir. Zamanında saptanıp uygun tedavisi yapıldığında ambliyopiye bağlı görme kaybı geri dönüşümlüdür ve bu kitik süre geçtiğinde ise görme kaybı yaşam boyu sürekli hale gelmektedir. Ambliyopinin en sık sebepleri anizometropi, şaşılık ya da ikisinin birlikteliği olup ayrıca deprivasyona bağlı olarak da ambliyopi oluşabilmektedir. Tedavi yöntemlerinden refraktif düzeltme, kapama tedavisi ve penelizayon en sık kullanılan yöntemler olup ayrıca son zamanlarda nörovizyon tedavisi, medikal tedavi, refraktif cerrahi, akapunktur, makülaya düşük doz lazer ve mavi-kırmızı ışıkla uyarı gibi yöntemler de denenmiştir. Ambliyopi tedavisinde başarıyı etkileyen en önemli faktörler olgunun yaşı ve tedavi başlangıcındaki görme keskinliğidir. Olgunun yaşı ne kadar küçük ise daha kısa sürede daha iyi sonuçlara ulaşılmaktadır. Tanı esnasında görme keskinliği ne kadar düşükse tedaviyle alınan yanıt da azalmaktadır. Abstract: Amblyopia is the reduction of visual acuity in one or both eyes, without the presence of an organic ocular pathology. Amblyopia is the most common reason for a unilateral vision loss in young adults and children. The prevelance in the population varies between %1-5. While the first 4 years of life are the most crucial years, with the right treatment vision can be increased up until 6-7 years of age. Vision loss caused by amblyopia is reversible with the adequate treatment in the right time frame, if it is detected later on in life or left untreated, it can be permanent. Most common causes of amblyopia are; anisometropia, strabismus or simultaneous presence of both. Deprivation can also cause amblyopia. Primary treatment options are; correction of refractive errors, occlusion therapy and penalization. In recent years neurovision therapies, medical treatment, refractive surgeries, acupuncture and macular stimulation with low dose laser or blue-red light therapies have been tried. The most important factor affecting the outcome of the treatment is the patients age and the best corrected visual acuity (BCVA) at diagnosis. Better results are achieved in younger age groups. Patients with lower BCVAs at time of diagnosis usually have a poorer outcome.

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Section: Refraksiyon Kusurunun Düzeltilmesiunclassified

Ambliyopide Son Durum

Yaşar

2017

Osmangazi̇ Journal of Medicine

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“…These data are approaching but inferior to the sensory outcomes described by Berk for Refractive Accommodative Esotropes. 4 The maintenance of distance BSV during visual maturation is an important principle when attempting to improve on the sensory and motor outcomes from earlier studies, [18][19][20] where earlier surgery is an increasingly appealing modern-day alternative to protracted bifocal wear because it potentially offers speedier alignment but risks added complications.…”

Section: Hypermetropic Undercorrectionmentioning

confidence: 99%

Distance–near disparity esotropia: can we shrink the gap?

Burke

2014

Eye

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Distance-near disparity esotropias are a group of heterogenous usually acquired strabismus disorders, where the angle of misalignment at near exceeds that at distance by 10 prism diopters or more, where the accurate correction of refractive errors and ambylopia are important early objectives. These aetiologically diverse entities respond non-uniformally to strabismus surgery and bifocals. The management challenge is one of 'shrinking' the disparity so that the affected individuals can develop and comfortably maintain binocular single vision and/or optimal alignment. Surgical procedures have continued to evolve but none of the current operative procedures are superior for all patients. Subclassifying this strabismus and highlighting publication data from more homogenous clinical series may assist with the optimisation of future management and treatment outcomes.

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“…Several ophthalmologists also prescribe exercises to promote dissociation between accommodation and convergence [8,9]. If near esotropia persists, after several years of using bifocal lenses, a double recession of the medial rectus muscles can solve the problem, eliminating near deviation without generating strabismus for far [10][11][12][13]. Some studies, however, published by Breinin et al [14] and subsequently von Noorden and Jenkins [15,16], indicate that even therapy with bifocal lenses is not risk-free.…”

Section: Introductionmentioning

confidence: 97%

Do bifocals reduce accommodative amplitude in convergence excess esotropia?

Fresina

Schiavi

Campos

2010

Graefes Arch Clin Exp Ophthalmol

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In several patients, excessive convergence is secondary to the extra accommodative effort required due to the presence of a primitive NPA deficit. In these subjects, the prognosis can be made on the basis of NPA measurement, and treatment with bifocal lenses will always be required to compensate. Furthermore, the parents of these small patients should be informed, even before the prescription of bifocals, that prospective surgery of medial rectus muscles will not eliminate the need for bifocals.

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Convergence excess esotropia treated surgically with fadenoperation and medical rectus muscle recessions.

Cited by 44 publications

References 8 publications

Ambliyopide Son Durum

Ambliyopide Son Durum

Distance–near disparity esotropia: can we shrink the gap?

Do bifocals reduce accommodative amplitude in convergence excess esotropia?

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