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

A review of 473 patients operated upon as day cases indicates that such surgery is safe, effective, and practicable. The surgical procedures included strabismus and ptosis correction in 265 children; major oculoplastic surgery for subtotal full-thickness eyelid reconstruction; and intraocular surgery in adults for trabeculectomy, cataract extractions with or without simultaneous intraocular implant introduction, and cataract extractions combined with trabeculectomy. No modification in surgical technique was required for strabismus and ptosis surgery. Slight modification was necessary for cataract surgery, and certain innovations were made in oculoplastic surgery.
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PMID:Assessment of major intraocular and extraocular surgery performed as day cases. 27 75

This study was prompted by the observation that after horizontal muscle surgery a large number of cases of non-paralytic squint ended up with no binocular vision and an appreciable residual vertical deviation with a "V" or "A" pattern. It has become clear to us that the associated vertical deviation is usually present from the onset, and may play a major part in the mechanism of the squint. In less marked cases the vertical deviation is noticed only when the eye movements are fully examined, and is missed unless the extremes of elevation and depression are evoked. We have been largely influenced by the work and experience of Dr. M.H. Gobin (1964, 1968a, b, c), who feels that cyclotropia is an important factor in the aetiology of convergent squint. Gobin regards torsion as a third dimension in ocular motility, and thinks that for images to fall on corresponding retinal points it is reasonable to try to make the visual axes parallel horizontally and vertically, and that the retinal meridians should coincide.
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PMID:Role of the vertical muscles in horizontal deviations. 27 94

A consecutive series of 140 children was observed after strabismus surgery. All the postoperative problems are attributable to general anaesthesia, vomiting and drowsiness being the principal ones. Respiratory difficulties were unusual. There is no reason to keep a healthy child in hospital for longer than one night, and day case strabismus surgery appears to be safe if (1) an experienced doctor gives the anaesthetic, (2) there is adequate supervision for 3 to 4 hours after surgery, (3) the appropriate district nurse is forewarned that a child is returning home after general anaesthesia, and (4) facilities are available to retain a child in hospital if a problem arises before discharge. Signs of emotional trauma may be less in children treated as day cases than in those hospitalized for one or more nights.
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PMID:Day case surgery for strabismus in children. 27 97

Observation of fifty patients submitted to primary Binkhorst intraocular lens insertion for uniocular cataract has shown that 88% regained 6/12 or better visual acuity in the operated eye. All but three patients with healthy fellow eyes and a good visual result from surgery regained orthotropia and some binocular functions promptly without squint surgery, but formal tests of stereoacuity were poorly performed. The best clinical guide to binocular performance for near vision was found to be Lang's pen test.
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PMID:Binocular effects of intraocular lens insertion. 27 13

The requirements laid down in national and international standards and draft standards provide helpful guidelines for optimum illumination (Fig. 1, Table I). General room illumination with 500 lx and illumination of the working area with 1000 lx are best achieved with a larger number of fluorescent lamps on the ceiling above and in front of the dental chair. Daylight white lamps with good colour rendering (e.g. Osram colour 19 or Philips colour 47) are a good combination with changing daylight and the colour of light of the operating light. The colour of external skin, mucous membrane and teeth appears natural. The eight surgical lights examined differ in quality (Figs. 2-9). The maximum illuminance is between 9000 and 21 000 lx and is thus sufficiently high. The evenness of light distribution within an ellipse 9 cm and 18 cm in diameter is between 1 : 4 and 1 : 15 (Figs. 10 and 11). Illuminance can be adjusted to the work in hand by means of controls. If the patient looks into the operating lights (Figs. 2c and 9c), maximum luminances of 5 cd/cm2-20 cd/cm2 occur 8 cm above the illuminance maximum in six operating lights. Luminances of more than 20 cd/cm2 cause squinting and running eyes. A light fitting with more than 200 cd/cm2 should not be used. A sharp fall in illuminance (distinct light/dark threshold) and low luminances to the patient's eyes can be achieved with very directed light. Very directed light leads to very heavy shadows. Similarly, less specifically directed light leads to softer shadows so that objects in the oral cavity can be discerned easily, but the patient is no longer dazzled. The following operating lights can be recommended if the patient is to suffer as little glare as possible: Den-Tel-Ez Daray, and Belmont Type 040, Faro Sunlight S 70, Ritter Super Starlite; as well as: Chirana Fax, Siemens Sirolux. The following can be recommended for good illumination of the oral cavity: Belmont Type 040, Chirana Fax, Emda Top Spot, Faro Sunlight S 70, Pelton and Crane Light Fantastic Plus, Ritter Super Starlite, Siemens Sirolux. The colour temperature, heat radiation, easy handling, stability and price are also important for qualitative assessment.
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PMID:Dental operating lights and illumination of the dental surgery. 28 54

Two subjects with acute lymphatic leukemia have been observed to have unilateral optic neuropathy five to seven days following administration of Vincristine (2.0 mg/sq m) during maintenance chemotherapy. Both subjects were in mission at the time their ocular problems developed. After discontinuance of Vincristine therapy, marked vision improvement in the affected eye occurred over the ensuing months. It is presumed that Vincristine therapy was the cause of toxic optic neuropathy in these patients.
J Pediatr Ophthalmol Strabismus
PMID:Unilateral optic neuropathy following vincristine chemotherapy. 28 74

A class of retinal ganglion cells, the 'sustained' or 'X' cells in the area centralis of the retina, provides the physiological basis of high visual acuity. Our hypothesis, that amblyopia is a functional loss of X-cells due to inappropriate stimulation of the fovea by habitually blurred images during the critical period of development, has been supported by experiments on kittens reared with various types of surgically produced squint or with penalization. Amblyopia was associated with a loss of visual acuity of X-cells in the area centralis of the squinting eyes which had lost the ability to fix or of the penalized eyes, i.e. amblyopia occurred in the eyes which received habitually blurred images during the critical period of development. Thus amblyopia has a peripheral (retinal) cause. Regardless of whether or not the eye was amblyopic, a loss of binocularly driven cells in the visual cortex was a common feature in all uniocularly treated cases. When one eye was amblyopic the cortical cells tended to favour the non-amblyopic eye and the number of cells driven by the amblyopic eye was reduced. These central effects may play a role in suppressing unwanted images from the amblyopic eye while the fixing eye is in use. But the central effects do not cause amblyopia.
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PMID:Is amblyopia a peripheral defect? 29 11

Objective determination of monocular accommodation in young eyes revealed a different behaviour in strabismus alternans from that in normal binocular vision. This manifested itself by strongly differing individual responses, less correct values in physiological and unphysiological accommodation tests, and different reactions on hindering clear vision that cannot be compensated by refraction changes. The possibility of central scotoma, persisting during fixation and varying in density, occurring in alternating strabismus, is discussed.
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PMID:[Results of objective accommodation determination in eyes with alternating functional central scotoma (alternating strabismus) (author's transl)]. 30 May 75

Although reading ability is known to be related to a large number of factors, when a child having a reading problem is brought to an optometrist he (or she) has the responsibility of determining whether or not a visual anomaly may be a major or contributing cause of the reading problem. A review of the literature indicates that myopia is consistently associated with good reading performance; and that hypermetropia, astigmatism, lateral phorias, poor fusional vergences, strabismus and color vision anomalies tend to be associated with poorer than average reading performance. Well-designed and well-controlled studies are needed, particularly concerning the effect on reading ability of the correction of visual anomalies. Until such studies have been done, any child who has a reading problem deserves a thorough optometric or ophthalmologic examination and the correction of any visual anomalies found.
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PMID:Are visual anomalies related to reading ability? 30 32

The five symptoms of binocular confusion of the unilateral aphakic patient are described. In day vision, without strabismus and without correction, the image of the aphakic eye considerbly disturbs binocular vision, though the vision is less than 20/400 (first symptom). In night traffic the uncorrected unilateral aphakic patient sees very striking light circles and within those circles of glittering dots around bright light sources of cars or around blinking indicators and stoplights (fifth symptom). The five disturbing symptoms of binocular confusion can be positivity eliminated by an appropriate combination of spectacles and contact lens (combined correction) in regard to echometry and intraocular optics.
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PMID:[Binocular confusion in unilateral aphakia (author's transl)]. 30 13


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