American Orthoptic Journal Eye Care and Cure
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Amer. Orthoptic Jrnl. 58(1):27-30 (2008); doi:10.3368/aoj.58.1.27
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Symposium: Standards of Care and Controversies in the Treatment of Adult Strabismus

Evaluation and Treatment of Decompensated Childhood Strabismus in Adults

Erika C. Acera, O.C.(C.), Shira L. Robbins, M.D. and David B. Granet, M.D.

From the Abraham and Anne Ratner Children’s Eye Center, University of California, San Diego, La Jolla, California

Correspondence: Requests for reprints should be addressed to: Erika C. Acera, O.C.(C.), The Abraham and Anne Ratner Children’s Eye Center, Univ. of California, San Diego, La Jolla, CA 92093-0946.


   Abstract
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Decompensated childhood strabismus in adults can be challenging to evaluate and treat. Due to these patients’ sensory adaptations, changes to their visual environment may not be well tolerated. As clinicians we need to determine "why did this happen?" and "how do we fix it?" A comprehensive evaluation with special attention to the patient’s sensorimotor examination is invaluable in reaching these answers. Once all the information is gathered, we can then determine the appropriate treatment approach for this subset of adult strabismics.

Key words: strabismus, amblyopia, diplopia, fusion


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 REFERENCES
 

  1. von Noorden GK. Binocular Vision and Ocular Motility: Theory and Management of Strabismus , 4th ed. St. Louis: CV Mosby Co.; 1990. p. 384.
  2. Tychsen L: Infantile esotropia: Current neurophysiologic concepts. In: Clinical Strabismus Management: Principles and Surgical Techniques . Rosenbaum AL Santiago AP, eds. Philadelphia: WB Saunders; 1999. pp. 117–134.
  3. Pratt-Johnson JA, Tillson G. Management of Strabismus and Amblyopia: A Practical Guide , 2nd ed. New York: Thieme; 2001. pp. 7–15.
  4. Oystreck DT, Lyons CJ: Presbyopia complicating pre-existing strabismus. Can J Ophthalmol 2003; 38:272–278.[Medline]
  5. Kushner BJ: Recently acquired diplopia in adults with long-standing strabismus. Arch Ophthalmol 2001; 119:1795–1801.[Abstract/Free Full Text]
  6. Furr BA, Archer SM, Del Monte MA: Strabismus misadventures in refractive surgery. Am Orthopt J 2001; 51:11–15.[CrossRef]
  7. Schuler E, Silverberg M, Beade P, Moadel K: Decompensated strabismus after laser in situ keratomileusis. J Cataract Refract Surg 1999; 25:1552–1553.[CrossRef][Medline]
  8. Munoz M, Rosenbaum AL: Long-term strabismus complications following retinal detachment surgery. J Pediatr Ophthalmol Strabismus 1987; 24:309.[Medline]
  9. Nayak H, Kersey JP, Oystreck DT, Cline RA, Lyons CJ: Diplopia following cataract surgery: A review of 150 patients. Eye 2007; Apr 27 (Epub ahead of print).




This Article
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