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Query: UMLS:C0038379 (strabismus)
 9,317 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

An 11-year-old female manifested bilateral prominent Schwalbe's line, iridal adhesions, displaced and irregular pupils. She had no evidence of juvenile glaucoma. The major nonocular finding in this patient was the congenital absence of her primary and permanent maxillary central and lateral incisors. Although missing or malformed teeth may occur in other conditions such as Down's syndrome, focal dermal hypoplasia syndrome, anhidrotic ectodermal dysplasia, chondroectodermal dysplasia, and incontinentia pigmenti, the clinician should include Rieger's syndrome in his differential diagnosis in patients with oligodontia in combination with malformation of the anterior chamber of the eye. Rieger's syndrome is a rare condition characterized by ocular and dental abnormalities, namely mesoectodermal dysgenesis of the iris and cornea of the eyes and hypodontia of the dentition. This report presents a sporadic case of Rieger's syndrome in an 11-year-old female and discusses the pertinent clinical features of this condition.
J Pediatr Ophthalmol Strabismus
PMID:Rieger's syndrome: (oligodontia and primary mesodermal dysgenesis of the iris) clinical features and report of an isolated case. 10 18

A 10-year-old female with a generalized bone dysplasia was found to have a rare condition, Melnick-Needles syndrome. Characteristic clinical features of this syndrome include exophthalmos, hypertelorism, micrognathia, malaligned teeth, and large ears in a person with multiple bone deformities. In addition to the usual characteristic clinical findings, sclerocornea and cornea plana were also present in this patient. This is the first case of Melnick-Needles syndrome reported in the ophthalmological literature and the first case reported with ophthalmological findings other than exophthalmos and strabismus.
J Pediatr Ophthalmol Strabismus
PMID:Melnick-Needles syndrome. 10 22

The present paper deals with the results of 20 eyes of experimentally operated laboratory animals, whose perforating wounds (of cornea and those of sclerocorneal region) have been suturated with a new type of absorbable synthetic suture material "Dexon" thickness being 6-0. The synthetic absorbable suture material "Dexon" is made of polyglycol acid, and it has been introduced to market by the firm Davis and Geck (U.S.A.). The inflammatory tissue reaction to the presence of the suture material "Dexon" is prominent and can by compared to the reaction to chromic resorbable suture materials (catgut or collagen). The suture material "Dexon" start to resorb in the course of the 2nd-3rd weeks after operation. The suture material "Dexon" can be used at an advantage in the operation where it is possible to cover the knots by a conjuctival lobe (in sclerocorneal region or in strabismus surgery) in this way the tendency to overgrowing of epithelial cells along the suture channels can be prevented. The "Dexon" material is sufficiently flexible and firm and has no antigenic properties, therefore it appears very prospective for ophthalmosurgery.
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PMID:[Reaction of the fibrose eyeball covering upon the suture material synthetic and absorbable "Dexon". (Experimental study) (author's transl)]. 23 22

The clinical and pathologic findings of a case of congenital bilateral, peripheral corneal leukoma associated with iris coloboma and anterior subluxation of the lens are reported. The changes in the region of keratolenticular apposition include partial absence of Bowman's membrane, stromal vascularization and thinning with large-diameter collagen fibrils, and absence of Descemet's membrane and endothelium. The authors postulate that dysembryogenesis of the tertiary vitreous, with iris coloboma, resulted in apposition of the lens to cornea during the second and third month of gestation and that this apposition resulted in the observed peripheral corneal abnormalities.
J Pediatr Ophthalmol Strabismus
PMID:Peripheral Peters' anomaly: a histopathologic case report. 31 Aug 74

Exencephalic tail-short (Ts/+) embryos were obtained from mating normal mice of Patch strain with Ts/+ mice from Babl/c strain. The most common eye malformations in the exencephalic embryos were exophthalmy, microphthalmy, eye ball irregularity and corneal opacity. Squint eye and unilateral anophthalmy occurred at a lower frequency. The eye abnormalities were recognized histologically by 11-days of gestation. The retina was retarded in development. Lens fibres were swollen and some of them appeared degenerated. Lens epithelium was protruded anteriorly, detached from the underlying lens and joined the corneal endothelium. The lens remained in close contact to the ectodermal layer, forming a thick lens stalk. At the 16-day stage, the corneal epithelium became irregular in thickness and the corneal stroma was discontinuous, having disarranged collagenous fibrils. In a few embryos the corneal endothelium was absent. In the squint-eyed embryo, the cornea bulged through the opened eyelids, while in an anophthalmic embryo it was thick and underdeveloped. Generally, the upper and lower eyelids of the exencephalic embryos were asymmetrical, and the lower lid appeared covered by a thick irregular peridermal layer.
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PMID:Malformations of the eye in the exencephalic tail-short mice during its development. 149 13

A computerized topographic analysis system was used to evaluate corneal changes after strabismus surgery in eight eyes of five patients with Graves' disease. All patients underwent inferior rectus muscle recession; three eyes also had medial rectus recession. Corneal topographic analysis revealed that, postoperatively, corneas steepened inferiorly and inferotemporally at 1.5 mm from corneal apex (p less than 0.05). The opposite effect was observed in the superior quadrant (average flattening of 1.20 +/- 0.32 D at 1.5 mm from corneal apex, and 1.08 +/- 0.39 D at 3.0 mm from corneal apex; p less than 0.05). Superotemporally, the cornea flattened by an average of 0.65 +/- 0.26 D at 3.0 mm from corneal apex, and superonasally 0.72 +/- 0.19 D at 3.0 mm from corneal apex (p less than 0.05). Central, nasal, and temporal cornea did not show statistically significant changes. Spherical equivalent did not change significantly after surgery. The amount of restriction and upgaze measured preoperatively was correlated weakly with inferior corneal steepening (r2 = 0.44; p = 0.046). These results are indicative that corneal topography may be influenced by strabismus surgery for Graves' disease through alteration of extraocular muscle tension or intraocular pressure.
Cornea 1992 Jan
PMID:Corneal topographic changes following strabismus surgery in Grave's disease. 155 45

Congenital Rubella affects the eye in many ways. Ocular effects can be found in the lens, retina, ciliary body and cornea. Ocular manifestations of the Congenital Rubella Syndrome are congenital cataracts, microphthalmos, pigmentary retinopathy, strabismus, and glaucoma. While surgical and medical treatment is utilized for these conditions, the need for prevention is considered critical. The responsibility of health care providers to educate the public remains the key.
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PMID:The ocular manifestations of congenital rubella syndrome. 156 63

A healthy baby boy presented with abdominal colic. He was subsequently noted to have enlarged, edematous corneas. A clinical diagnosis of developmental glaucoma was made despite ocular hypotony. Trabeculectomies were designed to include peripheral cornea. This served as a biopsy to confirm the diagnosis and as a surgical treatment for the condition. Morphological examination of the outflow system revealed findings compatible with a diagnosis of developmental glaucoma: a hypoplastic trabecular meshwork which contained an abundance of abnormal collagenous tissue in the extracellular spaces and the presence of endothelial cells overlying a continuous collagenous membrane. In the iris stroma there were numerous abnormal blood vessels, with a paucity of mural contractile cells.
J Pediatr Ophthalmol Strabismus
PMID:A case of developmental glaucoma presenting with abdominal colic and subnormal intraocular pressure. 158 73

The BUT of 51 strabismus patients were measured before and after operation. The average pre-op BUT was 28.75 seconds (10.96"-91.80"). The post-op BUT in all operated eyes were reduced significantly, no matter what procedures had been performed and whether dellen appeared or not (P < 0.01). The BUT in the group complicated dellen reduced from 23.22" (pre-op) to 8.61" (post-op). The incidence of dellen was 22.54% in this study. The incidence of dellen after rectus resection procedure (47.75%) was much higher than that after rectus recession (5.13%) (P < 0.01). This study showed that dellen was closely related to the BUT and occurred more often in the eyes on which resection procedure was performed. It is considered that excessive lacrimation and elevation of the bulbar conjunctiva near the limbus may disturb the stability of the precornea tearfilm and cause the tearfilm break up earlier. Local corneal dehydration and dellen formation may be caused by reduced BUT. The incidence of dellen after operation may be higher if the cornea was carefully observed.
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PMID:Relationship between corneal dellen and tearfilm breakup time. 184 30

A computerized videokeratoscopy system was used to evaluate changes in corneal topography after muscle surgery in 36 eyes of 18 rabbits. Topographic analysis revealed a significant flattening of the cornea in the superior and superotemporal octants after superior rectus recession (mean +/- SE, -1.78 +/- 0.16 diopters) compared with control eyes undergoing a sham procedure (-0.17 +/- 0.18 D; P less than .05). Excision of all rectus muscles caused a generalized corneal flattening (-1.42 +/- 0.13 D; P less than .001). A computerized, finite element model of the globe, including the rectus muscles, demonstrated corneal deformation as a result of extraocular muscle tension; recession of an extraocular muscle in this model caused corneal flattening in the quadrant of the recessed muscle. These data suggest that corneal topography is affected by extraocular muscle tension, corroborating clinical reports of refractive change after strabismus surgery.
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PMID:Effect of extraocular muscle surgery on corneal topography. 204 78


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