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

Binocular training with full prismatic correction after the monocular therapy by occlusion brings a further improvement of the visual acuity as well as shown in a study of 29% (138 cases) of 469 selected cases with binocular problems and 43% (260 cases) of about 600 unselected cases of squint actually in treatment in the practice and orthoptic years the strength of the prisms is determined with the monocular covertest, in elder patients with the Polatest. If the amblyopia is connected with squint, an operation will only be performed after the amblyopia is improved and some degree of binocularity is reached by means of prisms. - 80% of the selected and 48% of the unselected cases reached a visual acuity of 1,0 on the amblyopic eye, including originally severe cases with eccentric fixation. In about 80% of all cases binocular single vision and stereopsis were reached. Failures were mainly due to remaining eccentric fixation, mostly connected with severe ARC, too advanced age at ting the prisms, too long intervals between controls etc.) - Finally, the importance of cooperation with an orthoptist and the social medical aspects of better chances for amblyopics are accentuated.
Klin Monbl Augenheilkd 1979 Sep
PMID:[Better prognosis for amblyopics by means of full prismatic correction after monocular treatment (author's transl)]. 52 50

The localisation of an object close at hand and grasping it with the hand is the result of a complicated sequence of nerve impulses involving close co-operation between optical, perceptive and psychological stimuli, which are integrated in the central nervous system and lead to a well-directed command-movement. Disturbances of coordination between eye and hand in cases of amblyopia and concomitant strabismus are described. The individual authors suggest different forms of traeatment. In our opinion these are not genuine disturbances of hand-eye coordination. In amblyopia we have an ambiguity of localisation due to fact that the fixation is not stable. In the case of strabismus the error of spatial localisation can be explained by the unnatural examination methods, and by the abnormal position of the eye in the orbit. There is no denying the results gained by localisation treatment, but these the results can also be achieved by another mechanism not only in amblyopia but also in strabismus.
Klin Monbl Augenheilkd 1979 Sep
PMID:[Eye-hand coordination in squint sufferers]. 52 51

Variations in the area of the insertions of the rectus muscles are quite often observed. We have been paying more attention to these changes during the past year, and therefore we measured the distance of insertion from the corneal limbus during 310 squint operations. Furthermore we noted the width of the tendon at the insertion, atypical forms of insertions and finally we tried to evaluate the factor of muscular elasticity. The findings are as follows: 1. The arithmetical mean of the distance of insertion from the limbus was slightly less than cited in literature on this subject. It was not unusual to find variations of up to 4mm, even between the same muscles of both eyes. This seems to have little influence on the primary position and on the success of surgical interventions; when they do not exceed the measures cited in our paper. The relatively great area of contact will balance these variations. 2. We could not find a correlation between anomalies of refraction and the distance of insertions of the limbus. The insertions of higher degree hyperopia was not closer to the limbus. 3. The arithmetical mean of the width of tendon conformed to the values as shown in the literature. A range up to 8 mm for the medial rectus, up to 5,5 mm for the lateral rectus and up to 2,5 mm for the vertical rectus were observed. 4. We could see variations of the insertions: upward and downward and furthermore different lines of insertions: arched and step-like. These anomalies were found 52 times among the 310 muscles measured. 5. An increased muscular rigidity was felt in 56 medial rectus and in 13 lateral rectus muscels. In 21 cases the course of the horizontal muscles was atypical, i.e., they ran from below diagonally out of the orbita.
Klin Monbl Augenheilkd 1979 Sep
PMID:[Variations in the muscular insertion, the course and elasticity of the muscles in people suffering from squint (author's transl)]. 52 54

The fusional nature of the phenomenon of prism compensation in strabismus was studied. At first a general survey was performed on the characteristics of anomalous fusional movements (a.f.m.). The influence of different kinds of stimuli (foveal and peripheral fusionable targets, non-fusionable targets) on a.f.m. was considered, and finally the effect of a sensorial obstacle to fusion was investiaged. It is concluded that 'eating up' the prisms is definitely a phenomenon of fusional nature, although it has special features which are interpreted as a consequence of the initial pathological condition. In this way the puzzling prism compensation also in subjects with normal retinal correspondence may be explained.
Int Ophthalmol 1978 Sep
PMID:Further evidence for the fusional nature of the compensation (or 'eating up') of prisms in concomitant strabismus. 55 44

If the fixing eye of a squinting patient is covered, a saccade to take up fixation follows which corresponds to the eccentricity of the image on the retina of the squinting eye. However, in some strabismus patients one finds a saccade even though the image on the retina of the squinting eye has already been deflected onto the fovea centrailis with the aid of prisms. This saccade brings the eye into the primary postion and displaces the image of the fixation target to a peripheral retinal point, so that the image must be recentred onto the fovea by a second saccade. We propose to call this movement to and fro a 'rebound-saccade'. This phenomenon indicates that, in patients with alternating strabismus, extraretinal information determined by the angle of squint influences rapid alternation of fixation between the right and left eyes. The rebound-saccade cannot be explained by anomalous retinal correspondence.
Int Ophthalmol 1978 Sep
PMID:'Rebound-saccade' in the prism cover test. 55 45

Two unrelated girls, aged 6 and 8 years, respectively, are presented with complete trisomy 22 in the absence of detectable mosaicism. In each case, the extra chromosome has been unambiguously identified as chromosome No. 22. The features which were consistent in both girls included: advanced maternal and paternal ages, a history of repeated abortions and stillbirths, normal birthweight with no gross post-natal growth retardation, mental retardation with further severe deterioration at 3-5 years of age, epilepsy (particularly motor seizures), hypotonia, neurological (especially cerebellar) deficit, and abnormal E.E.G. patterns. The physical stigmata comprised: frontal bossing, hypertelorism, bulbous nose, antimongoloid slant of the palpebral fissures, strabismus, long philtrum, large rotated protruding low-set auricles, pectus excavatum, and abnormal dermatoglyphics. The clinical course of the disorder was suggestive of a degenerative phenomenon of the central nervous system neurones.
Clin Genet 1978 Sep
PMID:Complete trisomy 22. 56 44

Sixteen cases of vertical rectus muscle myopathy in dysthyroid patients are described. In mild cases without diplopia prisms may be adequate treatment. When uncomfortable diplopia is present surgery is indicated when the muscle dysfunction has become stable. Even after surgery further contracture is often experienced, particularly after Ogura antral decompression. The amount of correction obtained by recession of a contracted muscle is greater than that following ordinary strabismus surgery so that usually only one muscle should be operated upon at a time. Care should be exercised in tenotomy of severely contracted muscles. The prognosis is excellent in dysthyroid myopathy if the patient permits the required number of surgical procedures which may be necessary.
Ann Ophthalmol 1979 Sep
PMID:Management of eye movement restriction (particularly vertical) in dysthyroid myopathy. 58 24

A new form of ocular albinism, autosomal recessively inherited ocular albinism (AROA), was studied in seven females and two males from five unrelated Caucasian kindreds. Affected patients have the impaired vision, translucent irides, congenital nystagmus, photophobia, albinotic fundi with hypoplasia of the fovea, and strabismus that are also found in X-linked ocular albinism (XOA). Unlike XOA, however, this form of ocular albinism is inherited as an autosomal recessive trait, with females affected as severely as males. Obligate heterozygotes of AROA lack the ocular abnormalities that are present in females heterozygous for XOA. Also, skin and hairbulb biopsy specimens do not reveal any abnormalities in patients with AROA, whereas giant pigment granules are found in patients heterozygous and hemizygous for XOA. The recognition of this disorder is imperative for proper diagnosis and responsible genetic counseling.
Arch Ophthalmol 1978 Sep
PMID:Autosomal recessively inherited ocular albinism. A new form of ocular albinism affecting females as severely as males. 68 4

When a subject monocularly views a bar grating that is oriented counterclockwise from vertical, and then immediately looks at a vertically oriented grating, he/she perceives it rotated clockwise. This tilt aftereffect occurs when the adapting and test targets are viewed by the same eye (direct effect) or opposite eye (interocular transferral effect). An apparatus has been developed to measure the tilt aftereffect in a clinical setting and to use such measures in assessing the prognosis for functional correction of strabismus on the assumption that the transferred tilt aftereffect is an indicator of the percentage of binocularly driven cortical neurons. Results from six normal and two strabismic subjects are presented.
Am J Optom Physiol Opt 1978 Sep
PMID:Clinical assessment of the tilt aftereffect. 74 56

Kittens appear visually immature at eye opening and studies were conducted to trace changes with maturity. Longitudinal determinations of optical quality indicate that optical factors may not limit visual performance in young kittens. Estimates of visual axis alignment in alert kittens at various ages show that functional visual divergence does not occur even when the pupillary axes are divergently misaligned. It is thus possible that fused binocular vision may occur in very young kittens, suggesting that procedures that disrupt binocularity may have effects at the cortical level. Single-unit analysis of striate cortex in kittens monocularly deprived for varying periods during the first three postnatal weeks confirms this possibility. Effects are also found for kittens reared with monocular defocus to simulate anisometropia. Binocular recovery from the effects of monocular deprivation is found to be quite limited in kittens given binocular exposure following unilateral lid-suture. The recovery that occurs requires active visual input rather than a cessation of imbalance in the two eyes. A long period of binocular exposure appears to be ineffective in restoring binocular connections in a cat reared with optically induced strabismus.
Arch Ital Biol 1978 Sep
PMID:Some neural and non-neural factors in visual development of the kitten. 74 13


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