103 results on '"Ocular torticollis"'
Search Results
2. Brown Syndrome
- Author
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Jaafar, Mohamad S., Traboulsi, Elias, editor, and Utz, Virginia, editor
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- 2016
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3. Facial asymmetry in ocular torticollis
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Mohammad Reza Akbari, Masoud Khorrami Nejad, Farshad Askarizadeh, Fatemeh Farahbakhsh Pour, Mahsa Ranjbar Pazooki, and Mohamad Reza Moeinitabar
- Subjects
Facial asymmetry ,Ocular torticollis ,Superior oblique palsy ,Ophthalmology ,RE1-994 - Abstract
Torticollis can arise from nonocular (usually musculoskeletal) and ocular conditions. Some facial asymmetries are correlated with a history of early onset ocular torticollis supported by the presence of torticollis on reviewing childhood photographs. When present in an adult, this type of facial asymmetry with an origin of ocular torticollis should help to confirm the chronicity of the defect and prevent unnecessary neurologic evaluation in patients with an uncertain history. Assessment of facial asymmetry consists of a patient history, physical examination, and medical imaging. Medical imaging and facial morphometry are helpful for objective diagnosis and measurement of the facial asymmetry, as well as for treatment planning. The facial asymmetry in congenital superior oblique palsy is typically manifested by midfacial hemihypoplasia on the side opposite the palsied muscle, with deviation of the nose and mouth toward the hypoplastic side. Correcting torticollis through strabismus surgery before a critical developmental age may prevent the development of irreversible facial asymmetry. Mild facial asymmetry associated with congenital torticollis has been reported to resolve with continued growth after early surgery, but if asymmetry is severe or is not treated in the appropriate time, it might remain even with continued growth after surgery.
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- 2015
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4. Phacoemulsification without preoperative topical mydriatics: Induction and sustainability of mydriasis with intracameral mydriatic solution
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Sanjiv K Gupta, Ajai Kumar, Swati Agarwal, and Siddarth Agarwal
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Ophthalmology ,RE1-994 - Abstract
Context: Intracameral mydriatic solution can eliminate the disadvantages of repeated eye drop instillation regimen and provide adequate mydriasis for phacoemulsification with added advantages. Aims: Evaluating the role of intracameral irrigating solution (0.5% lignocaine + 0.001% epinephrine) in initiating and maintaining the pupillary mydriasis during phacoemulsification. Secondary aims were to observe the effect of surgical time, nucleus density and ultrasound time on mydriasis during the procedure. Settings and Design: The study is a prospective interventional case series, conducted at tertiary care institution. Materials and Methods: Thirty patients underwent phacoemulsification under topical anesthesia for visually significant cataract. Pupillary dilatation was achieved by intracameral irrigation of mydriatic solution alone. Pupillary diameter was measured serially during surgery and ultrasound time and total surgical time were noted. Statistical Analysis Used: Paired samples student-t test was done to compare means. Spearman correlation coefficient was used to study the effect of various parameters on mydriasis. Results: Thirty eyes completed the study. The pupil size increased from 2.1 mm (Range 2-3.5 mm SD ± 0.32) to 6.9 mm (Range 5-9 mm SD ± 1.02) in 30 seconds time after intracameral mydriatic solution delivery, and was 7.0 mm (Range 3.5 - 9 mm SD ± 0.20) at the end of surgery. Duration of surgery, grade of nucleus and ultrasound time had statistically insignificant effect on mydriasis. Conclusions: Intracameral solution containing 0.5% lignocaine and 0.001% epinephrine provides rapid mydriasis which is adequate for safe phacoemulsification and is unaffected by other parameters.
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- 2014
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5. Barriers to follow-up for pediatric cataract surgery in Maharashtra, India: How regular follow-up is important for good outcome. The Miraj Pediatric Cataract Study II
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Parikshit Gogate, Shailbala Patil, Anil Kulkarni, Ashok Mahadik, Rahin Tamboli, Rekha Mane, Rishiraj Borah, and G V Rao
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Ophthalmology ,RE1-994 - Abstract
Background: Regular follow up and amblyopia treatment are essential for good outcomes after pediatric cataract surgery. Aim: To study the regularity of follow-up after cataract surgery in children and to gauge the causes of poor compliance to follow up. Subjects: 262 children (393 cataracts) who underwent cataract surgery in 2004-8. Materials and Methods: The children were identified and examined in their homes and a "barriers to follow-up" questionnaire completed. Demographic data collected, visual acuity estimated, and ocular examination performed. Statistical Analysis: SPSS version 19. Results: Of the 262 children, only 53 (20.6%) had been regularly following up with any hospital, 209 (79.4%) had not. A total of 150 (57.3%) were boys and the average age was 13.23 years (Std Dev 5 yrs). Poor follow up was associated with the older age group ( P < 0.001), less education of mother ( P = 0.012), father′s occupation ( P = 0.031), how much money spent on travel ( P = 0.033) and was it paid or free surgery ( P = 0.001). It was not related to gender, numbers of children in family, ordinal status of child, and social strata. Distance and cost were major barriers, as was the inability of the eye care center to communicate the importance of follow up. A prospective follow-up visit showed that 93 children needed Nd: YAG LASER capsulotomy, 5 needed low vision aids, 4 contact lens, and 162 a change of spectacles. The average visual acuity improved in 150 (38.8%) eyes >1 line with regular follow-up. Conclusion: Regular follow-up is important and improves vision; eye care practitioners need to take special efforts to ensure better follow-up.
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- 2014
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6. Neonatal orbital abscess
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Khalil M Al-Salem, Fawaz A Alsarayra, and Areej R Somkawar
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Bacterial conjunctivitis ,conjunctivitis ,gram negative diplococcus ,Neisseria sicca ,netilmicin ,Aspergillosis ,endophthalmitis ,vitrectomy ,voriconazole ,Eyelid retraction ,orbital infection ,orbital neonatal abscess ,neonatal abscess ,Ophthalmology ,RE1-994 - Abstract
Orbital complications due to ethmoiditis are rare in neonates. A case of orbital abscess due to acute ethmoiditis in a 28-day-old girl is presented. A Successful outcome was achieved following antimicrobial therapy alone; spontaneous drainage of the abscess occurred from the lower lid without the need for surgery. From this case report, we intend to emphasize on eyelid retraction as a sign of neonatal orbital abscess, and to review all the available literature of similar cases.
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- 2014
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7. Rhodotorula mucilaginosa Keratitis: A rare fungus from Eastern India
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Suman Saha, Jayangshu Sengupta, Debapriya Chatterjee, and Debdulal Banerjee
- Subjects
Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Ophthalmology ,RE1-994 - Abstract
Rhodotorula mucilaginosa rarely cause keratitis in immunocompromised individuals. A 30 year old male with history of minor trauma presented with cotton wool like stromal infiltration and hypopyon in left eye. Microbiological examination of corneal scraping showed fungal hyphae and yeast cells in direct smear. Molecular identification of the organism was performed which showed 100% homology with Rhodotorula mucilaginosa. Management of these cases is difficult often necessitating surgical procedures. However further reports are necessary to understand the disease and establish a treatment protocol.
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- 2014
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8. Collagen cross-linking in the treatment of pellucid marginal degeneration
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Ziad Hassan, Gabor Nemeth, Laszlo Modis, Eszter Szalai, and Andras Berta
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Bacterial conjunctivitis ,conjunctivitis ,gram negative diplococcus ,Neisseria sicca ,netilmicin ,Aspergillosis ,endophthalmitis ,vitrectomy ,voriconazole ,Eyelid retraction ,orbital infection ,orbital neonatal abscess ,neonatal abscess ,Dirofilaria ,intraocular dirofilaria ,worm ,Axenfeld-Rieger Syndrome ,anterior segment dysgenesis ,blepharophimosis ptosis epicanthus inversus syndrome ,glaucoma ,Actinic granuloma ,conjunctiva ,granuloma annulare ,necrobiosis lipoidica ,Internal limiting membrane ,macular hole ,optical coherence tomography ,re-surgery ,Ichthyosis follicularis ,alopecia and photophobia syndrome ,meibomian gland dysfunction ,ocular invovement ,Collagen cross-linking ,pellucid marginal degeneration ,Pentacam HR ,Ophthalmology ,RE1-994 - Abstract
Pellucid marginal degeneration (PMD) is an uncommon cause of inferior peripheral corneal thinning disorder, characterized by irregular astigmatism. We analyzed a case of bilateral PMD patient and treated one eye with corneal collagen cross-linking (CXL) therapy. Corneal topography was characteristic for PMD. Visual acuity, slitlamp examinations, tonometry, and corneal thickness were observed. Simulated keratometric and topographic index values were detected with corneal topography. Uncorrected, LogMAR visual acuity has improved from +0.8 to +0.55 during the 6 months and +0.3 during the 8 months follow-up after CXL. Pachymetry values and intraocular pressure showed no changes. Keratometric values and topografic indexes disclosed no progression of the disease. CXL may postpone or eliminate the need of corneal transplantation in cases with PMD.
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- 2014
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9. Effect of strabismus surgery on torticollis caused by congenital superior oblique palsy in young children
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Ramesh Kekunnaya and Sherwin J Isenberg
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Ophthalmology ,RE1-994 - Abstract
Purpose: To evaluate the outcome of strabismus surgery for congenital superior oblique palsy (SOP) in relation to correction of head tilt and hypertropia. The cohort of patients mainly involved very young children. This is the first study to use a standardized instrument to objectively measure torticollis before and after surgery. Materials and Methods: A non-comparative interventional case series of 13 cases of congenital superior oblique palsy with head tilt, who underwent simultaneous superior oblique tuck and inferior oblique recession between Jan 2000 and Dec 2008, were studied. Results: The mean duration of SOP until surgery was 36.8 months. Of the 12 unilateral cases, 8 were right-sided. Mean follow-up period was 17 months (range 7-36). The outcome was determined at the last follow-up. Mean pre-and post-operative hypertropia (p.d.) in forced primary position was 19 ± 7 and 2 ± 6, respectively ( P < 0.0001). The head tilt reduced from mean of 17 ± 9 to 2 ± 2 degrees ( P < 0.0001). Success, defined as hypertropia
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- 2014
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10. Can eyes cause neck pain?
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Hood, Wendy and Hood, Martin
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EYE anatomy , *EDUCATION of physical therapists , *RISK factors of falling down , *BIOMECHANICS , *COMMUNICATION , *POSTURAL balance , *INTERPROFESSIONAL relations , *NECK pain , *TORTICOLLIS , *DISEASE complications - Abstract
Background/Aims: Cackground/Aims: This article is a narrative analysis of literature relating to ocular-motor imbalance and the potential postural consequences. It aims to highlight the importance of sensory integration between the visual and vestibular systems and proprioception. The consequences of extra-ocular muscle imbalance are discussed in terms of the disruption to this sensory integration. The symptoms that this may give rise to include spinal pain, postural instability and potential increased risk of falls. This paper therefore encourages a wider multidisciplinary awareness in managing patients with such symptoms. [ABSTRACT FROM AUTHOR]
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- 2016
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11. Development of a questionnaire to identify ocular torticollis
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Yong Beom Shin, Jin A Yoon, Hyeshin Jeon, and Hee Young Choi
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Pediatrics ,medicine.medical_specialty ,Rehabilitation ,genetic structures ,business.industry ,medicine.medical_treatment ,medicine.disease ,eye diseases ,Interquartile range ,Ophthalmologic examination ,Pediatrics, Perinatology and Child Health ,Orthopedic surgery ,medicine ,sense organs ,Ocular torticollis ,Strabismus ,Ocular disease ,business ,Torticollis - Abstract
Ocular disease is one of the causes of abnormal head positioning. Conventionally, the behavioral characteristics of ocular torticollis patients are different from those of non-ocular torticollis patients, though research addressing the significance of this difference is yet limited. This prospective, cross-sectional study aims to develop a questionnaire based on the clinical features in children with abnormal head posture being ocularly assessed. Children aged ≥ 6 months who visited our rehabilitation medicine clinic with a chief complaint of abnormal head posture were included. Patients with apparent orthopedic and neurological diseases were excluded. A 10-item questionnaire was developed to analyze the behavioral characteristics of patients. The patients were divided into ocular and non-ocular torticollis groups according to ophthalmologic examination results. Thirty-four and 13 patients were assigned to the non-ocular torticollis and ocular torticollis groups, respectively. Five questions were finally selected and the questionnaire was scored as the sum of the scores for the each questions (yes = 1 point, no = 0 point). The median (interquartile range) score of the ocular torticollis group (3.0 (3.0–4.0)) was significantly higher than that of the non-ocular torticollis group (2.0 (1.0–3.0); p = 0.000). Conclusion: Our parent-reported torticollis assessment questionnaire may be useful for screening ocular torticollis.
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- 2020
12. A rare case of toxic optic neuropathy secondary to consumption of neem oil
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A R Suresha, P Rajesh, K S Anil Raj, and Radhika Torgal
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Ophthalmology ,RE1-994 - Abstract
A 35-year-old female was referred to our hospital with bilateral loss of vision of two days duration. She gave history of consumption of about 150 ml of neem oil five days back.Examination revealed no perception of light in both eyes. Both pupils were dilated and sluggishly reacting to light. Her fundus examination showed bilateral hyperemic, edematous discs and also edema extending along the superior and inferior temporal vascular arcade. Magnetic resonance imaging (MRI) scan showed bilateral putaminal regions with altered signal, hypointensities in T1-weighted images, hyperintensities on T2-weighted, images and hyperintense on Fluid Attenuation Inversion Recovery (FLAIR) images suggestive of cytotoxic edema due to tissue hypoxia. Her vision improved to 20/200 in both eyes with treatment after two months. This is the first case report of such nature in the literature to the best of our knowledge.
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- 2014
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13. Excellent outcome of Aspergillous endophthalmitis in a case of allergic bronchopulmonary aspergillosis
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Balbir Khan, Ravi Vohra, Rajwinder Kaur, Sukhwinder Singh, Ashapritpal, and Vartika
- Subjects
Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Bacterial conjunctivitis ,conjunctivitis ,gram negative diplococcus ,Neisseria sicca ,netilmicin ,Aspergillosis ,endophthalmitis ,vitrectomy ,voriconazole ,Ophthalmology ,RE1-994 - Abstract
While invasive aspergillosis occurs typically in severely immunocompromised patients, cases of surgical site infections have been reported in immunocompetent individuals. The purpose is to report an eye with post-operative Aspergillus endophthalmitis, which achieved a good visual outcome following early and aggressive treatment. A young patient, known case of allergic bronchopulmonary aspergillosis presented to us with post-cataract surgery endophthalmitis. He was treated with pars plana vitrectomy and intravitreal voriconazole and systemic itraconazole. The patient regained a vision of 20/30 with follow up of 2 years.
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- 2014
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14. Repeat gas insufflation for successful closure of idiopathic macular hole following failed primary surgery
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Pukhraj Rishi, Sumanth Reddy, and Ekta Rishi
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Bacterial conjunctivitis ,conjunctivitis ,gram negative diplococcus ,Neisseria sicca ,netilmicin ,Aspergillosis ,endophthalmitis ,vitrectomy ,voriconazole ,Eyelid retraction ,orbital infection ,orbital neonatal abscess ,neonatal abscess ,Dirofilaria ,intraocular dirofilaria ,worm ,Axenfeld-Rieger Syndrome ,anterior segment dysgenesis ,blepharophimosis ptosis epicanthus inversus syndrome ,glaucoma ,Actinic granuloma ,conjunctiva ,granuloma annulare ,necrobiosis lipoidica ,Internal limiting membrane ,macular hole ,optical coherence tomography ,re-surgery ,Ophthalmology ,RE1-994 - Abstract
A 65-year-old lady presented with decreased vision in left eye since seven months. Vision was 6/9 in right eye and 6/36 in left. Examination revealed idiopathic, full-thickness macular hole in left eye; confirmed by optical coherence tomography (OCT). Patient underwent phacoemulsification with intraocular lens (IOL) implantation, vitrectomy, internal limiting membrane (ILM) peeling and 14% C 3 F 8 gas injection. OCT repeated after six weeks revealed type II closure with cuff of subretinal fluid. Four weeks later, patient underwent fluid-gas exchange with 14% C 3 F 8 gas and postoperative positioning. OCT was repeated after two weeks, which showed complete closure of the macular hole. OCT can help in selection of eyes for re-surgery that stand a better chance for hole closure. Macular holes with cuff of subretinal fluid are probably more likely to close on re-surgery than those without. However, larger studies with longer follow-up are required to validate this finding.
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- 2014
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15. Limbal dermoid in Nager acrofacial dysostosis: A rare case report
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Rohit Malik, Sumit Goel, and Saurabh Aggarwal
- Subjects
Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Ophthalmology ,RE1-994 - Abstract
Nager syndrome, also called preaxial acrofacial dysostosis, comprises two groups of defects involving the limbs and craniofacial region, respectively. This syndrome is rare and only 70 cases have been reported in the literature. The exact cause of this syndrome is unknown, but there is indication that it is genetically based. Ocular manifestations of this syndrome include widely separated downward slanting eyes, absence of eyelashes, ptosis of upper eyelids and colobomas on the inner aspect of lower eyelids. We report limbal dermoid in a patient with Nager syndrome. We did not find such an association of "Limbal dermoid in Nager acrofacial dysostosis syndrome" on PubMed using Nager acrofacial dysostosis, limbal dermoid and ocular manifestations as the keywords.
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- 2014
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16. Spontaneous fracture of an implanted posterior chamber polyimide intraocular lens haptic: A case report
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Haemin Kang, Kyung Eun Han, Tae-im Kim, and Eung Kweon Kim
- Subjects
Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Ophthalmology ,RE1-994 - Abstract
A 57-year-old male patient visited our clinic for decreased visual acuity in the right eye for 10 days. He denied any trauma history, but recalled that the symptom developed after straining. He had undergone uncomplicated phacoemulsification and posterior chamber intraocular lens (IOL) implantation in the bag of the right eye 11 years ago. The IOL was a three-piece silicone polyimide-haptics design. On slit-lamp examination, the IOL optic and proximal part of nasal fractured haptic were found in the anterior chamber. The distal part of fractured haptic was observed in the capsular bag. He underwent IOL exchange. The fracture site of the haptic was near the optic-haptic junction. This is the unique case report of a spontaneous fracture of an implanted posterior chamber polyimide IOL haptic, which implies the possibility of IOL haptic fracture in various haptic materials.
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- 2014
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17. Novel occurrence of axenfeld: Rieger syndrome in a patient with blepharophimosis ptosis epicanthus inversus syndrome
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Bhavin M Shah, Tanuj Dada, Anita Panda, Mukesh Tanwar, Shibal Bhartiya, and Rima Dada
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Bacterial conjunctivitis ,conjunctivitis ,gram negative diplococcus ,Neisseria sicca ,netilmicin ,Aspergillosis ,endophthalmitis ,vitrectomy ,voriconazole ,Eyelid retraction ,orbital infection ,orbital neonatal abscess ,neonatal abscess ,Dirofilaria ,intraocular dirofilaria ,worm ,Axenfeld-Rieger Syndrome ,anterior segment dysgenesis ,blepharophimosis ptosis epicanthus inversus syndrome ,glaucoma ,Ophthalmology ,RE1-994 - Abstract
Blepharophimosis ptosis epicanthus inversus syndrome (BPES) is a complex eyelid malformation characterized by the classical tetrad of blepharophimosis, telecanthus, ptosis, and epicanthus inversus. It has been reported to be associated with other ocular anomalies such as euryblepharon, strabismus, nystagmus, amblyopia, microphthalmos, lacrimal drainage apparatus abnormality, extra ocular muscle abnormalities, microcornea, trabecular dysgenesis, optic nerve hypoplasias, and colobomas of the optic disk. We describe a case of BPES with Axenfeld-Rieger syndrome, a neurocristopathy characterized by maldevelopment of the anterior segment with predisposition to development of glaucoma. Interestingly, both syndromes are caused by mutations in the same class of genes, namely the winged-helix/forked transcription factors (FOX) involved in a variety of developmental processes.
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- 2014
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18. Cholesterol granuloma of the orbit: An atypical presentation
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Syed A R Rizvi, Mahboob Hasan, and Mohammad S Alam
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Ophthalmology ,RE1-994 - Abstract
Cholesterol granuloma is a rare, well-defined lesion of the orbit. In the orbit, diploe of the frontal bone is involved almost exclusively. We report an atypical case of cholesterol granuloma involving superomedial quadrant of orbit. A 42-year-old male presented with progressive, painless, proptosis with infero-temporal displacement of left eye. A large mass was felt beneath the bony orbital margin in the superomedial quadrant of the left orbit. Computerized tomography (CT) scan revealed an extraconal superomedial, heterogeneous enhancing mass which was isodense with brain and pushing the globe inferolaterally and anteriorly. Excision biopsy of the tumor revealed the typical features of a cholesterol granuloma without any epithelial elements. Cholesterol granuloma of the orbit is a rare entity, but it can be diagnosed and differentiated from other lesions of the superior orbit by its characteristic clinical, radiological and histopathological features. An appropriate intervention in time carries a good prognosis with almost no recurrence.
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- 2014
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19. Nonarteritic ischemic optic neuropathy developed after capsular block syndrome
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Volkan Hurmeric, Atilla Bayer, Ali H Durukan, and Fatih M Mutlu
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Ophthalmology ,RE1-994 - Abstract
A 65-year-old man developed capsular block syndrome in the early postoperative period, following phacoemulsification surgery. After neodymium-doped yttrium aluminum garnet (Nd:YAG) laser anterior capsulotomy, the intraocular pressure remained elevated for 4 days despite antiglaucomatous medication. On the postoperative fifth day, nonarteritic ischemic optic neuropathy was diagnosed. To the best of our knowledge, this is the first report of a case with nonarteritic ischemic optic neuropathy associated with early postoperative capsular block syndrome after phacoemulsification surgery.
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- 2014
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20. Annular elastolytic giant cell granuloma of conjunctiva: A case report
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Karabi Konar, Saurabh Sanyal, and Arindam Rakshit
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Bacterial conjunctivitis ,conjunctivitis ,gram negative diplococcus ,Neisseria sicca ,netilmicin ,Aspergillosis ,endophthalmitis ,vitrectomy ,voriconazole ,Eyelid retraction ,orbital infection ,orbital neonatal abscess ,neonatal abscess ,Dirofilaria ,intraocular dirofilaria ,worm ,Axenfeld-Rieger Syndrome ,anterior segment dysgenesis ,blepharophimosis ptosis epicanthus inversus syndrome ,glaucoma ,Actinic granuloma ,conjunctiva ,granuloma annulare ,necrobiosis lipoidica ,Ophthalmology ,RE1-994 - Abstract
Annular elastolytic giant cell granuloma is a condition characterized histologically by damaged elastic fibers associated with preponderance of giant cells along with absence of necrobiosis, lipid, mucin, and pallisading granuloma. It usually occurs on sun-damaged skin and hence the previous name actinic granuloma. A similar process occurs on the conjunctiva. Over the past three decades only four cases of conjunctival actinic granuloma have been documented. All the previous patients were females with lesions in nasal or temporal bulbar conjunctiva varying 2-3 mm in size. We report a male patient aged 70 years presenting with a 14 mm × 7 mm fleshy mass on right lower bulbar conjunctiva. Clinical differential diagnoses were lymphoma, squamous cell carcinoma in situ and amyloidosis. Surgical excision followed by histopathology confirmed it to be a case of actinic granuloma. This is the first case of isolated conjunctival actinic granuloma of such a large size reported from India.
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- 2014
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21. Conjunctivitis due to Neisseria sicca: A case report
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Ilker Eser, Alper Akcali, Muserref Tatman-Otkun, and Arzu Taskiran-Comez
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Bacterial conjunctivitis ,conjunctivitis ,gram negative diplococcus ,Neisseria sicca ,netilmicin ,Ophthalmology ,RE1-994 - Abstract
We report the first case, in Medline-based literature, of conjunctivitis caused by gram negative diplococcus, Neisseria sicca. Although it is not widely accepted as such, isolation from cultures of repeated eye swab samples suggests that N. sicca may be a pathogen in conjunctival infections. Positive culture for this organism should not be readily dismissed. Such conjunctivitis responded favorably to treatment with netilmicin eye drops.
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- 2014
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22. Meibomian gland dysfunction in a case of ichthyosis follicularis with alopecia and photophobia syndrome
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Tarannum Fatima, Umang Mathur, and Manisha Acharya
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Bacterial conjunctivitis ,conjunctivitis ,gram negative diplococcus ,Neisseria sicca ,netilmicin ,Aspergillosis ,endophthalmitis ,vitrectomy ,voriconazole ,Eyelid retraction ,orbital infection ,orbital neonatal abscess ,neonatal abscess ,Dirofilaria ,intraocular dirofilaria ,worm ,Axenfeld-Rieger Syndrome ,anterior segment dysgenesis ,blepharophimosis ptosis epicanthus inversus syndrome ,glaucoma ,Actinic granuloma ,conjunctiva ,granuloma annulare ,necrobiosis lipoidica ,Internal limiting membrane ,macular hole ,optical coherence tomography ,re-surgery ,Ichthyosis follicularis ,alopecia and photophobia syndrome ,meibomian gland dysfunction ,ocular invovement ,Ophthalmology ,RE1-994 - Abstract
We are reporting an interesting case of ichthyosis follicularis with alopecia and photophobia syndrome in a daughter and father from the Indian subcontinent associated with Meibomian gland dysfunction. A three-year-old female child presented with pain, redness and severe photophobia in both eyes since one month. Cutaneous examination revealed ichthyosis, absence of hair all over the body including eyebrows, scalp and angular cheilosis. Ocular examination revealed bilateral severe meibomianitis, multiple superficial punctate keratitides in right eye and corneal epithelial defect in the left eye. Other systemic features were prominent high forehead and large ears. Her father had similar symptoms. Her symptoms improved after adequate treatment of meibomian gland dysfunction. She is asymptomatic at present.
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- 2014
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23. Anomalous head posture related to visual problems.
- Author
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Nucci, Paolo, Curiel, Batya, Lembo, Andrea, and Serafino, Massimiliano
- Abstract
The cause of the anomalous head posture (AHP) has been mainly assigned to ocular, orthopedic, and neurologic causes. The AHP can take the form of head tilt, face turn, chin up, chin down, or combined, depending on the specific etiology. However, there are many variations, and the type of the head posture cannot reliably predict the underlying cause. Ocular AHP is usually an attempt to improve visual acuity or binocularity. Since the etiology is not always obvious, we stress that these patients must be carefully evaluated by ophthalmologists. Our effort here is to offer the neurologist a thorough insight in the specific head posture pattern primarily related to visual disorders. [ABSTRACT FROM AUTHOR]
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- 2015
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24. Retrospective study of recession of four horizontal rectus muscle in periodic alternating nystagmus.
- Author
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Osamu Mimura, Hiroto Ishikawa, Naoki Kimura, Akiko Kimura, and Borlongan, Cesar V.
- Subjects
- *
NYSTAGMUS , *RETROSPECTIVE conversion (Cataloging) , *PATIENTS , *VISUAL acuity , *CONVERGENT strabismus - Abstract
Purpose: Periodic alternating nystagmus (PAN) is a spontaneous horizontal nystagmus observed in disorders of the central nervous system. Patients with congenital PAN complain of oscillating vision at high rates. Medication is the first-choice treatment for PAN; however, clinicians still seek better therapy. The aim of this study was to evaluate outcomes of recession of four horizontal rectus muscle (R-FHR) in patients with congenital PAN. Patients and methods: This study reports a retrospective case series of ten patients (seven males and three females; mean age 24.4±10.9) with congenital PAN who underwent R-FHR between 2007 and 2012, which was performed by the same surgeon at the Hyogo College of Medicine. Patients were evaluated for complications, recession amount, deviation angle, eye movements including a nystagmus amplitude, and visual acuity during pre- and post-operative periods. Results: Pre-operatively, patients complained of oscillating vision, abnormal head posture, esotropia, and congenital superior oblique palsy. Post-operatively, changes from the previous observations of nystagmus amplitudes and abnormal head posture demonstrated a complete reversal in all patients. In addition, visual acuity determined with a Snellen chart improved in two patients. However, esotropia occurred in three patients who underwent additional strabismus surgery 2 days after R-FHR. R-FHR was particularly effective in eight patients who preoperatively had periodic oscillating vision with a regular pattern of periodic nystagmus. Conclusion: We demonstrated that ten patients with congenital PAN had improved vision following R-FHR, indicating that R-FHR was an effective procedure, especially in patients suffering PAN with periodic oscillating vision. [ABSTRACT FROM AUTHOR]
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- 2014
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25. Effect of strabismus surgery on torticollis caused by congenital superior oblique palsy in young children.
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Kekunnaya, Ramesh and Isenberg, Sherwin J.
- Subjects
- *
TORTICOLLIS , *PARALYSIS , *JUVENILE diseases , *CONGENITAL disorders , *SURGICAL complications ,STRABISMUS surgery - Abstract
Purpose: To evaluate the outcome of strabismus surgery for congenital superior oblique palsy (SOP) in relation to correction of head tilt and hypertropia. The cohort of patients mainly involved very young children. This is the first study to use a standardized instrument to objectively measure torticollis before and after surgery. Materials and Methods: A non-comparative interventional case series of 13 cases of congenital superior oblique palsy with head tilt, who underwent simultaneous superior oblique tuck and inferior oblique recession between Jan 2000 and Dec 2008, were studied. Results: The mean duration of SOP until surgery was 36.8 months. Of the 12 unilateral cases, 8 were right-sided. Mean follow-up period was 17 months (range 7-36). The outcome was determined at the last follow-up. Mean pre-and post-operative hypertropia (p.d.) in forced primary position was 19 ± 7 and 2 ± 6, respectively (P < 0.0001). The head tilt reduced from mean of 17 ± 9 to 2 ± 2 degrees (P < 0.0001). Success, defined as hypertropia <5 PD and head tilt less than 5 degrees, was achieved in 69% (9/13. C.I. 42-88%) and 85% (11/13. C.I. 56-96%), respectively. The success rate for achieving both criteria was 61.5% (C.I. 35-88%). Five patients required additional surgery; usually a contralateral inferior rectus muscle recession, which was successful in all cases. One case developed asymptomatic Brown syndrome (7.69% - C.I. 6.7-22.2). Conclusions: Simultaneous superior oblique tuck and inferior oblique muscle recession can successfully treat selected cases of congenital superior oblique palsy. About one-third required an additional procedure, which led to total normalization of the head position. [ABSTRACT FROM AUTHOR]
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- 2014
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26. Эффективность оригинального метода рецессии нижней косой мышцы при парезе верхней косой мышцы у детей с горизонтально-вертикальным косоглазием
- Subjects
ocular torticollis ,Ophthalmology ,горизонтально-вертикальное косоглазие ,inferior oblique muscle overaction ,косоглазие ,хирургия косоглазия ,horizontal-vertical strabismus ,strabismus surgery ,глазной тортиколлис ,strabismus ,гиперфункция нижней косой мышцы - Abstract
Проведен анализ эффективности разработанного способа коррекции вертикального косоглазия, влияния его на тортиколлис и гиперфункцию нижней косой мышцы у пациентов с горизонтально-вертикальным косоглазием, оперированных в ИМФУП Медицинский центр Новое зрение в 20082017 годах. Полученные данные сравнивались с результатами хирургического лечения детей, прооперированных традиционным способом. Разработанный нами метод устраняет вертикальную девиацию вдаль в 92,08 случаев (р0,004) и вблизи в 91,09 случаев (р0,009). Метод позволяет уменьшить степень гиперфункции нижней косой мышцы в приведении в 72,28 случаев (р0,012) и устранить третью степень глазного тортиколлиса., To study the surgical effects of the developed method for the correction on the reduction of vertical deviation, torticollis and of inferior oblique muscle overaction in children who had horizontal- vertical strabismus. Patients were operated in the Medical center New vision between 2008 and 2017 years. The method we developed eliminates vertical deviation into the distance in 92.08 of cases (p0.004) and close in 91.09 of cases (p0.009). The method allows to reduce the degree of inferior oblique muscle overaction (IOOA) in 72.28 (p0.012) and eliminate the third degree of ocular torticollis., №1 (2020)
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- 2020
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27. Ocular torticollis: A tilt in perspective
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Helen Dooley, Morgan Berman, and Chido Mwaturura
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Aged, 80 and over ,Ocular Motility Disorders ,Tilt (optics) ,Tilt-Table Test ,Perspective (graphical) ,Diplopia ,Humans ,Optometry ,Female ,Triazoles ,Ocular torticollis ,Family Practice ,Psychology - Published
- 2019
28. Isolated traumatic aniridia after trabeculectomy in a pseudophakic eye
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Subashini Kaliaperumal, Robin Troutbeck, Wallop Iemsomboon, and Adrian Farinelli
- Subjects
Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Bacterial conjunctivitis ,conjunctivitis ,gram negative diplococcus ,Neisseria sicca ,netilmicin ,Aspergillosis ,endophthalmitis ,vitrectomy ,voriconazole ,Eyelid retraction ,orbital infection ,orbital neonatal abscess ,neonatal abscess ,Dirofilaria ,intraocular dirofilaria ,worm ,Axenfeld-Rieger Syndrome ,anterior segment dysgenesis ,blepharophimosis ptosis epicanthus inversus syndrome ,glaucoma ,Actinic granuloma ,conjunctiva ,granuloma annulare ,necrobiosis lipoidica ,Internal limiting membrane ,macular hole ,optical coherence tomography ,re-surgery ,Ichthyosis follicularis ,alopecia and photophobia syndrome ,meibomian gland dysfunction ,ocular invovement ,Collagen cross-linking ,pellucid marginal degeneration ,Pentacam HR ,Aniridia ,blunt trauma ,detached iris ,iridodialysis ,Ophthalmology ,RE1-994 - Abstract
This is a single case report of an elderly patient who had blunt trauma in an eye that had phacoemulsification and two trabeculectomies. She had good vision with a well-functioning bleb before the trauma. She presented during her routine follow-up visit for glaucoma with isolated aniridia and an intact globe. The capsular bag, zonules, and the intraocular lens were intact. The cupping was 0.8, and the rest of the fundus and macula were normal. Pigments were seen over the sclera extending posteriorly upto the fornix. Gonioscopy revealed only faint pigments at the fistula. Following the trauma, the intraocular pressure had increased to 26 mm Hg. The mechanism and the management of the glaucoma are discussed.
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- 2014
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29. Bilateral intraocular dirofilariasis
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Viney Gupta, Preeti Sankaran, Mohanraj, Jyotish Chandra Samantaray, and Vimla Menon
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Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Bacterial conjunctivitis ,conjunctivitis ,gram negative diplococcus ,Neisseria sicca ,netilmicin ,Aspergillosis ,endophthalmitis ,vitrectomy ,voriconazole ,Eyelid retraction ,orbital infection ,orbital neonatal abscess ,neonatal abscess ,Dirofilaria ,intraocular dirofilaria ,worm ,Ophthalmology ,RE1-994 - Abstract
Ocular dirofilariasis mostly presents as a subconjunctival or eyelid lesion. [1] Intraocular dirofilarial infestation is rare. [2],[3] We report a case of a young woman who was accidentally detected to have a live motile worm in the anterior segment in one eye and a cystic lesion on the optic disc in the other eye. To our knowledge, bilateral intraocular dirofilariasis has never been reported.
- Published
- 2014
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30. Implantation of iris-claw Artisan intraocular lens for aphakia in Fuchs′ heterochromic iridocyclitis
- Author
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Ahmad Kheirkhah, Mojgan Nikdel, and Hadi Ghadimi
- Subjects
Clinical profile ,Indian population ,optic neuritis treatment trial ,optic neuritis ,Decompression of the orbit ,diplopia ,orbit ,thyroid exophthalmos ,thyroid ophthalmopathy ,Limbus incision ,subconjunctival incision ,sutureless manual small-incision cataract surgery ,wound construction ,Central retinal vein occlusion ,intravitrealbevacizumab ,intravitrealtriamcinolone acetonide ,macular edema ,Contrast sensitivity ,fixation ,microperimeter ,normative data ,retinal sensitivity ,Optical coherence tomography ,optic disc pit ,retinal detachment ,retinoschisis ,Homocysteine ,retinal vein occlusion ,visual impairment ,Diabetic macular edema ,monocyte chemoattractant protein-1 ,soluble intracellular adhesion molecule-1 ,vascular endothelial growth factor ,Compressive optic neuropathy ,humphrey visual field ,ischemic optic neuropathy ,multifocal visual evoked potential ,Age ,body mass index ,gender ,high density lipoprotein ,intraocular pressure ,lipid profiles ,total cholesterol ,triglyceride ,Capsular tension ring ,cataract ,intraocular lens ,myopia ,phacoemulsification ,posterior capsular opacification ,Ethnicity ,Indian ,macular thickness ,normative ,retinal nerve fiber layer ,Ocular torticollis ,superior oblique palsy ,surgery ,Barriers to follow-up ,pediatric cataract ,visual outcome ,Cataract ,intracameral mydriatic solution ,no preoperative mydriatic ,Disc edema ,neem oil ,putamen ,toxin-induced encephalopathy ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Absent thumb ,craniofacial defects ,limbal dermoid ,Nager syndrome ,Keratitis ,Rhodotorula sp ,Polymerase chain reaction ,Atypical ,cholesterol granuloma ,Capsular block syndrome ,optic neuropathy ,Haptic fracture ,posterior chamber intraocular lens fracture ,spontaneous fracture ,Bacterial conjunctivitis ,conjunctivitis ,gram negative diplococcus ,Neisseria sicca ,netilmicin ,Aspergillosis ,endophthalmitis ,vitrectomy ,voriconazole ,Eyelid retraction ,orbital infection ,orbital neonatal abscess ,neonatal abscess ,Dirofilaria ,intraocular dirofilaria ,worm ,Axenfeld-Rieger Syndrome ,anterior segment dysgenesis ,blepharophimosis ptosis epicanthus inversus syndrome ,glaucoma ,Actinic granuloma ,conjunctiva ,granuloma annulare ,necrobiosis lipoidica ,Internal limiting membrane ,macular hole ,optical coherence tomography ,re-surgery ,Ichthyosis follicularis ,alopecia and photophobia syndrome ,meibomian gland dysfunction ,ocular invovement ,Collagen cross-linking ,pellucid marginal degeneration ,Pentacam HR ,Aniridia ,blunt trauma ,detached iris ,iridodialysis ,Aphakia ,Fuchs′ heterochromic iridocyclitis ,iris-claw Artisan intraocular lens ,Ophthalmology ,RE1-994 - Abstract
Implantation of iris-claw Artisan intraocular lens (IOL) is a surgical option for correction of aphakia; however, these IOLs have not been used in eyes with uveitis including Fuchs′ heterochromic iridocyclitis (FHI) due to possible risk of severe postoperative intraocular inflammation. In the case reported here, we secondarily implanted an Artisan IOL in a 28-year-old man with FHI who had aphakia with no capsular support due to a previous complicated cataract surgery. Enclavation was easily performed and no intraoperative complication was noted. Postoperative course was uneventful with no significant anterior chamber inflammation during 12 months of follow-up. Although there were few deposits on the IOL surface, the patient achieved a best-corrected visual acuity of 20/20 without developing glaucoma or other complications. Therefore, Artisan IOL may be considered for correction of aphakia in patients with FHI. However, studies on large number of patients are required to evaluate safety of the procedure.
- Published
- 2014
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31. Cerebral correlates of facial asymmetry associated with superior oblique-related ocular torticollis
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Gena Heidary, Simon K. Warfield, Ryan Gise, Caroline D. Robson, Eric D. Gaier, and Sachin Patel
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Ophthalmology ,medicine.medical_specialty ,business.industry ,Pediatrics, Perinatology and Child Health ,Medicine ,Oblique case ,Ocular torticollis ,business ,Facial symmetry - Published
- 2021
32. Torsional Kestenbaum in congenital nystagmus with torticollis
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Prakash Prem, Arya A, Sharma Pradeep, and Mahesh Chandra V
- Subjects
Congenital nystagmus ,oblique muscle surgery ,ocular torticollis ,electronystagmography ,Torsional Kestenbaum surgery. ,Ophthalmology ,RE1-994 - Abstract
Surgery in idiopathic congenital nystagmus to correct an abnormal head posture is based on the shifting of neutral point. Torsional Kestenbaum has been done in cases of congenital nystagmus with torticollis, without definite localisation of null point and sustained improvement of head posture subsequent to surgery has been attributed to presumed shift of the null point. We present a 6 year-old boy with congenital horizontal nystagmus with marked head tilt towards the left shoulder. Electronystagmography showed dampening of nystagmus on left tilt. Recession/advancement of all four oblique muscles was done to shift the null point and nystagmus dampened in the primary position eliminating the head tilt. This report emphasises the significance of electronystagmography in critical decision of horizontal/torsional Kestenbaum and documentation of innervational changes following surgery and subsequent followup.
- Published
- 1990
33. Synostotic Anterior Plagiocephaly: A Cause of Familial Congenital Superior Oblique Muscle Palsy.
- Author
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Matalia, Jyoti, Kasturi, Nirupama, and Brodsky, Michael C.
- Subjects
- *
CRANIOSYNOSTOSES , *CRANIAL sutures , *PARALYSIS , *MOVEMENT disorders , *MUSCLE diseases - Abstract
Anterior plagiocephaly due to unicoronal craniosynostosis is commonly associated with an ipsilateral hypertropia and a contralateral head tilt. The ipsilateral superior oblique weakness has been attributed to the shortening of the orbital roof with retroplacement of the trochlea, and to heterotopic positioning of the vertical rectus muscles within the orbit. These anatomical aberrations may alter ocular rotations to mimic a true congenital superior oblique palsy. This paper describes two siblings with synostotic plagiocephaly and simulated superior oblique palsy with ocular torticollis successfully managed by strabismus surgery. Synostotic plagiocephaly should be included in the differential diagnosis of familial congenital superior oblique palsy. [ABSTRACT FROM AUTHOR]
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- 2013
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34. Improvement of fine motor skills in children with visual impairment: An explorative study
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Reimer, A.M., Cox, R.F.A., Nijhuis-Van der Sanden, M.W.G., and Boonstra, F.N.
- Subjects
- *
MOTOR ability in children , *VISION disorders , *MOVEMENT disorders , *TORTICOLLIS , *NYSTAGMUS , *PERFORMANCE evaluation , *ATTENTION , *EYE movements - Abstract
Abstract: In this study we analysed the potential spin-off of magnifier training on the fine-motor skills of visually impaired children. The fine-motor skills of 4- and 5-year-old visually impaired children were assessed using the manual skills test for children (6–12 years) with a visual impairment (ManuVis) and movement assessment for children (Movement ABC), before and after receiving a 12-sessions training within a 6-weeks period. The training was designed to practice the use of a stand magnifier, as part of a larger research project on low-vision aids. In this study, fifteen children trained with a magnifier; seven without. Sixteen children had nystagmus. In this group head orientation (ocular torticollis) was monitored. Results showed an age-related progress in children''s fine-motor skills after the training, irrespective of magnifier condition: performance speed of the ManuVis items went from 333.4s to 273.6s on average. Accuracy in the writing tasks also increased. Finally, for the children with nystagmus, an increase of ocular torticollis was found. These results suggest a careful reconsideration of which intervention is most effective for enhancing perceptuomotor performance in visually impaired children: specific ‘fine-motor’ training or ‘non-specific’ visual-attention training with a magnifier. [Copyright &y& Elsevier]
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- 2011
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35. Electronic Baropodometry in Patients Affected by Ocular Torticollis.
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Bellizzi, Mario, Rizzo, Giovanna, Bellizzi, Gianfranco, Ranieri, Maurizio, Fanelli, Margherita, Megna, Gianfranco, and Procoli, Ugo
- Subjects
- *
TORTICOLLIS , *POSTURE disorders , *MUSCULOSKELETAL system diseases , *MEDICAL equipment , *EYE diseases - Abstract
Aims: To evaluate, by means of electronic baropodometry (EB), the postural findings in patients affected by ocular torticollis. Methods: Posturographic analysis (length of the sway path, sway area, and mean velocity) was made in 54 patients with IV palsy, Duane Syndrome, or rectus superior palsy (group A) and compared with a control group of 45 healthy subjects (group B). The test was performed with both eyes open, then both closed, then with the affected eye open, and finally with the healthy eye open. Results: With both eyes open or closed, the length of the sway path, the sway area, and mean velocity were significantly increased in group A compared with group B ( P<0.0001). When the open eye was the one with the muscular paresis, the length of the sway path was significantly increased as compared with the healthy eye ( P<0.0001), and the sway area was increased too ( P<0.029). No statistical differences were observed mean velocity according to which eye was open ( P==NS). Conclusions: EB is a useful instrument for studying secondary postural anomalies in patients affected by OT. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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36. Downshoot-in-adduction with ocular torticollis. A case report
- Author
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Fritsch, Lauris
- Subjects
Stilling-Türk-Duane-Syndrom ,Stilling-Türk-Duane-Syndrome ,Jaensch-Syndrome ,Strabismus deorsoadductorius ,Strabismus concomitans ,Ocular torticollis ,Congenitale Obliquusstörung ,Okuläre Kopfzwangshaltung ,Congenital eye movement disorder ,Downshoot-in-adduction ,Brown-Syndrome ,Rectus-inferior-Parese ,Concomitant strabism ,Jaensch-Syndrom ,Rectus-inferior-palsy ,Brown-Syndrom - Abstract
Problemstellung: Bei einem erwachsenen Patienten wurde ein Strabismus deorsoadductorius am linken Auge diagnostiziert. Im Laufe des Tages klagt der Patient zeitweise über binokulare Doppelbilder. Zusätzlich nimmt der Patient aufgrund der Schielstellung eine okuläre Kopfzwangshaltung ein. Des Weiteren besteht eine Hyperopie mit Astigmatismus. Am Beispiel dieses Patienten werden die Untersuchungs- und Behandlungsmaßnahmen aufgezeigt und der Behandlungsverlauf über 17 Monate zusammengefasst und diskutiert. Methoden: In diesem Kapitel werden alle orthoptischen und ophthalmologischen Untersuchungsmethoden, welche im Rahmen der Untersuchungen durchgeführt wurden, aufgezeigt. Weiters werden Therapiemaßnahmen, welche im Fall eines Strabismus deorsoadductorius notwendig sind, beschrieben. Ergebnisse: In diesem Teil der Arbeit werden die von den Orthoptist*innen und den Ärzt*innen dokumentierten Ergebnisse der Erstuntersuchung und fünf weiterer Folgeuntersuchungen aufgezeigt. Zur Abklärung des Strabismus und der zeitweise auftretenden Doppelbilder wurde der Patient von seinem niedergelassenen Augenfacharzt zur Kontrolluntersuchung in die Sehschule überwiesen. Da der in dieser Arbeit beschriebene Patient im Laufe des Tages vermehrt über Doppelbilder klagt und diese nur unter starker Anstrengung, in Linksneigung des Kopfes kompensieren kann, wurde auf Wunsch des Patienten eine Augenmuskeloperation durchgeführt. Mit der durchgeführten Operation wurde Beschwerdefreiheit erreicht. Diskussion/ Schlussfolgerung: In diesem Bereich der verfassten Arbeit wird das Krankheitsbild des Strabismus deorsoadductorius dargestellt und die Vorgehensweise bei den Untersuchungen des in dieser Arbeit beschriebenen Patienten zur relevanten Literatur in Bezug gesetzt. Weiters werden mögliche Differentialdiagnosen erläutert und das Vorgehen bei Erstellung dieser Fallanalyse reflektiert. Differentialdiagnostisch wurde ein Strabismus deorsoadductorius von einem Stilling-Türk-Duane-Syndrom, einem Brown- bzw. Jaensch-Sydnrom oder einer Parese des kontralateralen Rectus inferior abgegrenzt und diskutiert. Introduction and goal of the study: An adult male person was diagnosed with downshoot-in-adduction. In the course of the day, the patient temporarily complains about binocular double images. In addition, the patient maintains a forced posture due to the squint angle. Furthermore, hyperopia with astigmatism could be determined. On the example of this patient, the specific orthoptic examination and treatment measures are demonstrated, and the treatment procedure is summarized and discussed. Methods: In this chapter, all orthoptic and ophthalmological examination methods, applied in the course of the examination are enumerated. Hereafter, therapeutic measures to employ in the case of strabismus deorsoadductorius, are outlined. Results: In this part of the work, the results of the initial examination and five consecutive examinations, documented by orthoptists and physicians, are presented. In order to clarify the strabism and the temporarily occurring double pictures, the patient is sent to the laboratory for medical examination. As the patient described in this scientific work, complains increasingly about double images and is only able to compensate them with exceptional effort by tilting the head to the left, an operation of the eye muscle is executed at his request. By means of this operation freedom from symptoms is achieved. Discussion / Conclusion: In this section, the clinical picture of downshoot-in-adduction is shown. The course of examinations for the patient is outlined with regard to the relevant literature. Furthermore, different differential diagnoses are explained, and the proceedings within this case analysis are reflected. Clinically, a downshoot-in-adduction has to be differentiated from a Stilling-Türk-Duane syndrome and from a Brown respectively a Jaensch syndrome as well as from a paresis of the contralateral rectus inferior. A detailed discussion of the clinical picture is required.
- Published
- 2019
37. Chronic acquired ocular torticollis: A diagnostic dilemma
- Author
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S. K. Mishra, S. Kumar, Rakesh Maggon, Anurag Badhani, Jitendra Kumar Singh Parihar, and Anirudh Singh
- Subjects
Pediatrics ,medicine.medical_specialty ,Head tilt ,business.industry ,MEDLINE ,Case Report ,General Medicine ,Diagnostic dilemma ,medicine.disease ,Surgery ,03 medical and health sciences ,0302 clinical medicine ,030221 ophthalmology & optometry ,medicine ,Ocular torticollis ,business ,030217 neurology & neurosurgery ,Torticollis - Published
- 2017
38. Der bei horizontalem Nystagmus mit horizontaler Heterotropie induzierte Torticollis ocularis und die Bedeutung der Hypothese von Eccles für die Blickmotorik.
- Author
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Lisch, K.
- Abstract
Bei horizontalem Nystagmus wird der horizontale konkordante Torticollis ocularis durch das dominante Auge induziert. Dabei ist zwischen der Adduktion oder der Abduktion des dominanten Auges zu unterscheiden und die jeweilige Heterotropie des anderen Auges zu berücksichtigen. Da für Bewegungen der früher angenommene Reflexbogen seine Gültigkeit verloren hat, kommt der dualistischen Hypothese von Eccles über die Wechselwirkung von Bewußtsein und Verbindungshirn (liaison brain) für die nähere Analyse der Blickmotorik eine besondere Bedeutung zu. Horizontal concordant ocular torticollis in horizontal nystagmus is induced by the dominant eye. Here the adduction and abduction of the dominant eye must be differentiated, and the heterotropia of the fellow eye must always be taken into consideration. In as much as the earlier thesis of a reflex arcarde has lost its validity for eye movements. Eccles' dualistic hypothesis of interaction between consciousness and the liaison brain now takes on particular significance in detailed analysis of the mechanism of occular movements. [ABSTRACT FROM AUTHOR]
- Published
- 1992
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39. Ocular Torticollis
- Author
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Fritz Gorzny
- Subjects
medicine.medical_specialty ,Letter to the editor ,business.industry ,Ophthalmology ,medicine ,General Medicine ,Ocular torticollis ,business - Published
- 2018
40. Facial asymmetry in ocular torticollis
- Author
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Fatemeh Farahbakhsh Pour, Mohammad Reza Akbari, Mahsa Ranjbar Pazooki, Farshad Askarizadeh, Masoud Khorrami Nejad, and Mohammad Reza Moeinitabar
- Subjects
Orthodontics ,medicine.medical_specialty ,Palsy ,medicine.diagnostic_test ,business.industry ,Physical examination ,medicine.disease ,Ocular torticollis ,Article ,Superior oblique palsy ,Surgery ,stomatognathic diseases ,Ophthalmology ,medicine.anatomical_structure ,lcsh:Ophthalmology ,lcsh:RE1-994 ,Medicine ,Medical history ,business ,Facial asymmetry ,Nose ,Facial symmetry ,Torticollis ,Strabismus surgery - Abstract
Torticollis can arise from nonocular (usually musculoskeletal) and ocular conditions. Some facial asymmetries are correlated with a history of early onset ocular torticollis supported by the presence of torticollis on reviewing childhood photographs. When present in an adult, this type of facial asymmetry with an origin of ocular torticollis should help to confirm the chronicity of the defect and prevent unnecessary neurologic evaluation in patients with an uncertain history. Assessment of facial asymmetry consists of a patient history, physical examination, and medical imaging. Medical imaging and facial morphometry are helpful for objective diagnosis and measurement of the facial asymmetry, as well as for treatment planning. The facial asymmetry in congenital superior oblique palsy is typically manifested by midfacial hemihypoplasia on the side opposite the palsied muscle, with deviation of the nose and mouth toward the hypoplastic side. Correcting torticollis through strabismus surgery before a critical developmental age may prevent the development of irreversible facial asymmetry. Mild facial asymmetry associated with congenital torticollis has been reported to resolve with continued growth after early surgery, but if asymmetry is severe or is not treated in the appropriate time, it might remain even with continued growth after surgery.
- Published
- 2015
41. Aspects étiologiques, cliniques et thérapeutiques des positions compensatrices de tête
- Author
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Poignant, Manon, École d’Orthoptie - Clermont-Auvergne (EO - UCA), CHU Clermont-Ferrand-Université Clermont Auvergne [2017-2020] (UCA [2017-2020]), and Adrien Coutu
- Subjects
Botox ,Paralysie ,Ocular head tilts ,Prisms ,Torticolis oculaire ,Strabisme précoce ,Prismes ,Ocular torticollis ,Déséquilibres oculomoteurs ,Early squint ,Oculomotor imbalance ,Nystagmus ,Positions compensatrices de tête ,Paralysis ,Toxine botulique ,Surgery ,Chirurgie ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
Background: In the ophthalmic world, the ocular head tilt allows research on visual improvement which can be: monocular: increase of visual acuity; binocular: improvement of binocular vision and stereoscopy; motor: by searching an area where deviation will decrease in paralysis or an area of less nystagmus. Improvement of vision earns on discomfort of torticollis. This position is adopted by the patient so as to compensate for an oculomotor or sensorial disorder. It is therefore different in terms of disorder associated with it (horizontal, vertical,oblique or torsional).Objectives, population and methods: The aim of this research paper was to achieve a statistical retrospective study on etiological, clinical and therapeutic aspects of ocular headtilt among 60 patients at Gabriel-Montpied hospital. We have collected information from the orthoptic and ophthalmologic examinations performed in the hospital. First, we have studied the frequency of the different diseases within the population but also the different types of ocular head tilts found (head turn on the right or on the left, tilted head in right or left shoulder), the frequency of treatment used (prism, botulism toxin injections and surgery) as well as their impact on head tilts.Results: The results showed that the etiology mainly found was nystagmus (47%) followed by early squint (20%) and paralysis (15%). With regards to the different types of head tilt, we found 47% of horizontal head tilts,against 23% of oblique head tilt. We found 15% of vertical head tilt as well as 15% of mixinghead tilts, with a horizontal and vertical component. Moreover, among the 60 patients of the study, 53% received treatment (prism, botox, surgery), 84% of patients were prescribed prisms, 28% had surgery or 13% received botox injection. Several conclusions can be drawn from those results. Prisms improve more often ocularhead tilt. Patients with nystagmus are mostly those who wore prisms (88%). In 40% of the cases, prisms were prescribed when patients have a horizontal ocular head tilt (turn right or left). The main indication for surgery was nystagmus (45%) and in the majority of cases, surgery was indicated to patients with a horizontal or oblique head tilt (33.5%).Discussion and conclusion: It is a priority to pay particular attention to ocular head tilt during orthoptic and ophtalmologic examination, because this will allow us to know the causes of ocular torticollis and why the patient have them. With a precise examination we can bring a complete care for the patient.; Introduction : Dans le monde ophtalmologique, les positions compensatrices de tête permettent la recherche d’une amélioration visuelle qui peut être : monoculaire : une augmentation de l’acuité visuelle ; binoculaire : avec une amélioration de la vision binoculaire et de la stéréoscopie ; motrice : en recherchant une zone où la déviation va diminuer dans une paralysie ou une zone de moindre battement du nystagmus. L’amélioration de la vision prime sur la gêne du torticolis. Cette position va être adoptée par le patient afin de compenser un trouble moteur ou sensoriel, elle sera donc différente en fonction du trouble qui lui est associé (horizontale,verticale, oblique ou torsionnelle).Objectifs, population et méthode : Le but de ce mémoire est de réaliser une étude statistique rétrospective sur les aspects étiologiques, cliniques et thérapeutiques des positions compensatrices de tête parmi 60 patients du CHU Gabriel Montpied. Nous avons collecté les données à partir de l’examen orthoptique puis ophtalmologique réalisé au CHU. Dans un premier temps nous avons étudié la fréquence des différentes étiologies au sein de la population mais aussi les différents types de position compensatrice de tête retrouvés (tête tournée à droite ou à gauche, tête penchée sur l’épaule droite ou gauche), la fréquence des traitements utilisés (prismes, injection de toxine botulique, chirurgie) ainsi que leur impact sur la position compensatrice de tête.Résultats : Les résultats montrent donc que l’étiologie principalement retrouvée est le nystagmus (47%) suivi du strabisme précoce (20%) et des paralysies (15%). En ce qui concerne les différents types de position compensatrice de tête, nous retrouvons le plus souvent des positions compensatrices de tête horizontales (47%) contre 23% de positions compensatrices obliques. On retrouve 15% de positions compensatrices verticales ainsi que 15% de positions mixtes c'est-à-dire avec une composante horizontale et verticale. De plus sur les 60 patients de l’étude, 53% ont reçu un traitement (prisme, botox, chirurgie),84% des patients ont eu des prismes de prescrits, 28% une chirurgie et 13% une injection de toxine. À partir de ces résultats on peut tirer plusieurs conclusions. Les prismes améliorent le plus souvent la position compensatrice de tête quand ils sont prescrits, les patients avec des nystagmus sont ceux qui sont le plus souvent prismés (88%) et dans la majorité des cas, les prismes sont prescrits lorsque le patient a une position compensatrice de tête horizontale (tête tournée à droite ou à gauche) (48%). Pour la chirurgie, l’indication principale a également été les nystagmus (45%) et dans la majorité des cas, la chirurgie à été indiquée pour les patients avec une position compensatrice de tête horizontale ou oblique (33.5%).Discussion et conclusion : Il est primordial d’apporter une attention particulière aux positions compensatrices de tête lors de l’examen orthoptique et ophtalmologique car cela va nous permettre de connaître la cause du torticolis et pourquoi le patient l’utilise. C’est grâce à un examen précis qu’on pourra apporter une prise en charge complète au patient.
- Published
- 2017
42. Phacoemulsification without preoperative topical mydriatics: Induction and sustainability of mydriasis with intracameral mydriatic solution
- Author
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Ajai Kumar, Sanjiv Kumar Gupta, Siddarth Agarwal, and Swati Agarwal
- Subjects
Male ,Mydriatics ,intracameral mydriatic solution ,medicine.medical_treatment ,retinoschisis ,visual impairment ,retinal sensitivity ,Pupil ,lcsh:Ophthalmology ,no preoperative mydriatic ,pediatric cataract ,Ethnicity ,Prospective Studies ,Homocysteine ,orbit ,Ultrasonography ,fixation ,vascular endothelial growth factor ,ischemic optic neuropathy ,sutureless manual small-incision cataract surgery ,Central retinal vein occlusion ,subconjunctival incision ,Ocular torticollis ,normative ,retinal vein occlusion ,optic disc pit ,visual outcome ,Indian population ,medicine.medical_specialty ,Anterior Chamber ,Clinical profile ,thyroid exophthalmos ,intravitrealbevacizumab ,macular thickness ,Age ,superior oblique palsy ,Humans ,myopia ,Aged ,macular edema ,Capsular tension ring ,retinal nerve fiber layer ,Phacoemulsification ,Decompression of the orbit ,Ophthalmology ,lcsh:RE1-994 ,phacoemulsification ,Limbus incision ,intravitrealtriamcinolone acetonide ,intraocular pressure ,intraocular lens ,humphrey visual field ,surgery ,Diabetic macular edema ,Mydriasis ,gender ,diplopia ,Ultrasound ,total cholesterol ,Indian ,wound construction ,microperimeter ,Middle Aged ,normative data ,high density lipoprotein ,cataract ,Anesthesia ,Female ,Original Article ,medicine.symptom ,optic neuritis treatment trial ,Adult ,posterior capsular opacification ,lipid profiles ,monocyte chemoattractant protein-1 ,Compressive optic neuropathy ,Context (language use) ,body mass index ,soluble intracellular adhesion molecule-1 ,Preoperative care ,Injections ,retinal detachment ,Lens, Crystalline ,Preoperative Care ,medicine ,Contrast sensitivity ,triglyceride ,optic neuritis ,thyroid ophthalmopathy ,Optical coherence tomography ,business.industry ,Barriers to follow-up ,Eye drop ,multifocal visual evoked potential ,Ophthalmic Solutions ,business ,Follow-Up Studies - Abstract
Context: Intracameral mydriatic solution can eliminate the disadvantages of repeated eye drop instillation regimen and provide adequate mydriasis for phacoemulsification with added advantages. Aims: Evaluating the role of intracameral irrigating solution (0.5% lignocaine + 0.001% epinephrine) in initiating and maintaining the pupillary mydriasis during phacoemulsification. Secondary aims were to observe the effect of surgical time, nucleus density and ultrasound time on mydriasis during the procedure. Settings and Design: The study is a prospective interventional case series, conducted at tertiary care institution. Materials and Methods: Thirty patients underwent phacoemulsification under topical anesthesia for visually significant cataract. Pupillary dilatation was achieved by intracameral irrigation of mydriatic solution alone. Pupillary diameter was measured serially during surgery and ultrasound time and total surgical time were noted. Statistical Analysis Used: Paired samples student- t test was done to compare means. Spearman correlation coefficient was used to study the effect of various parameters on mydriasis. Results: Thirty eyes completed the study. The pupil size increased from 2.1 mm (Range 2-3.5 mm SD ± 0.32) to 6.9 mm (Range 5-9 mm SD ± 1.02) in 30 seconds time after intracameral mydriatic solution delivery, and was 7.0 mm (Range 3.5 - 9 mm SD ± 0.20) at the end of surgery. Duration of surgery, grade of nucleus and ultrasound time had statistically insignificant effect on mydriasis. Conclusions: Intracameral solution containing 0.5% lignocaine and 0.001% epinephrine provides rapid mydriasis which is adequate for safe phacoemulsification and is unaffected by other parameters.
- Published
- 2014
43. Congenital Muscular Torticollis: A Descriptive Study of 16 Cases
- Author
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Abdul Matin, Ranjit Ranjan Roy, Rafiqul Islam, Rezaul Islam, Bijoy Krishna Das, and Rita Khan
- Subjects
medicine.medical_specialty ,Pediatrics ,biology ,business.industry ,Wryneck ,General Medicine ,medicine.disease ,biology.organism_classification ,Surgery ,Congenital muscular torticollis ,Deformity ,medicine ,medicine.symptom ,Post operative ,Ocular torticollis ,Complication ,business ,Sternocleidomastoid muscle ,Torticollis - Abstract
Background and study aim: Torticollis is the postural deformity of head and neck. Congenital Muscular Torticollis (CMT) is a postural deformity of head and neck detected at birth or shortly after birth, primarily resulting from unilateral shortening of Sternocleidomastoid muscle (SCM). In neonates and infants, patient may be cured conservatively by physiotherapy but surgery is the treatment of choice for children and adolescents. There are various techniques of surgery. Division of both sternal and clavicular head of SCM is very easy method which was practiced in this study. Here we show our experience regarding conservative and surgical management of congenital muscular torticollis in neonates, infants and older children. Patients and Methods: This is a retrospective case study among sixteen patients of congenital muscular torticollis. The cases were enrolled consecutively between Nov’ 2005 to Oct’ 2008 in Bangabandhu Sheikh Mujib Medical University, Gonosasthaya Somaj Vittik Medical College Hospital, ZH Sikder Women’s Medical College Hospital and different private clinics of Dhaka city of Bangladesh. Neonates and infants of were treated conservatively with physiotherapy by manual stretching and others (more than one year) were treated surgically by transection of both sternal and clavicular head of SCM under ganeral anesthesia. Operated patients were released on following post operative day with advice to start physiotherapy on same day. Acquired torticollis, ocular torticollis, neurogenic torticllis, osteogenic torticollis, congenital muscular torticollis with other diseases were excluded from the study. Parents were the informants. Purpose of the study was explained and verbal consent was taken. Written consent was taken before surgical intervention. Results: Patients age ranged from 5 days to 15 years of which eleven were female and five male. SCM was shortened in all cases (9 on right side and 7 on left side). Of 16 patients, 3 neonates, 8 infants and 5 were more than 1 year of age. There was no associated anomaly. Out of 11 neonates and infants 10 cured conservatively with physiotherapy and another one significantly improved. Six were treated surgically including one failed physiotherapy till the age of one year. Post operative period was uneventful and there was no complication. Results were evaluated clinically and on the comments of parents. Conclusion: Most of the patients of congenital muscular torticollis can be treated conservatively during infancy. Division of both sternal and clavicular head of SCM is easy and safe surgical technique for the treatment of CMT of older children and adolescents. DOI: http://dx.doi.org/10.3329/bjch.v34i3.10359 BJCH 2010; 34(3): 92-98
- Published
- 2012
44. Nonophthalmic Symptoms Secondary to Ocular Torticollis From Severe Blepharoptosis
- Author
-
Alon Kahana, Brenda L. Bohnsack, and Rina Bhatt
- Subjects
Male ,medicine.medical_specialty ,genetic structures ,Visual Acuity ,Ophthalmologic Surgical Procedures ,Article ,Ocular Motility Disorders ,medicine ,Blepharoptosis ,Humans ,Torticollis ,Retrospective Studies ,Vision, Binocular ,business.industry ,Infant ,General Medicine ,Middle Aged ,Dermatology ,eye diseases ,Ophthalmology ,Back Pain ,Female ,Surgery ,sense organs ,Ocular torticollis ,Cognition Disorders ,business - Abstract
The purpose of this case report is to describe reversible systemic symptoms associated with ocular torticollis due to blepharoptosis. A retrospective chart review identified patients with symptomatic ocular torticollis due to bilateral congenital or acquired blepharoptosis who underwent surgical correction (levator resection or frontalis sling). Preoperative and postoperative assessment of systemic symptoms in adults and developmental milestones are reported. The authors present 4 cases, 1 adult and 3 young children, all with severe bilateral upper eyelid ptosis. In the adult patient, it caused debilitating back pain that required orthopedic evaluation but was completely relieved with ptosis repair surgery. In the toddlers, subjective developmental motor delay was rapidly reversed following ptosis repair surgery. The authors suggest that primary care physicians, and spine and neuromuscular specialists, consider the possibility of ocular torticollis due to eyelid ptosis in the evaluation of patients with unexplained back and/or neck pain or with gross motor developmental delay. The authors propose that symptomatic ocular torticollis is an indication for ptosis repair.
- Published
- 2012
45. A rare case of toxic optic neuropathy secondary to consumption of neem oil
- Author
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KS Anil Raj, P Rajesh, Radhika Torgal, and AR Suresha
- Subjects
intracameral mydriatic solution ,retinoschisis ,Visual Acuity ,visual impairment ,retinal sensitivity ,lcsh:Ophthalmology ,no preoperative mydriatic ,Edema ,pediatric cataract ,Ethnicity ,Homocysteine ,orbit ,fixation ,vascular endothelial growth factor ,ischemic optic neuropathy ,sutureless manual small-incision cataract surgery ,Brain ,Central retinal vein occlusion ,Anatomy ,subconjunctival incision ,Ocular torticollis ,normative ,retinal vein occlusion ,optic disc pit ,visual outcome ,Brief Communications ,Indian population ,medicine.medical_specialty ,Clinical profile ,thyroid exophthalmos ,Glycerides ,intravitrealbevacizumab ,macular thickness ,Age ,superior oblique palsy ,Humans ,Optic neuritis ,myopia ,macular edema ,Capsular tension ring ,toxin-induced encephalopathy ,retinal nerve fiber layer ,medicine.disease ,Decompression of the orbit ,eye diseases ,Deglutition ,Ophthalmology ,lcsh:RE1-994 ,phacoemulsification ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Limbus incision ,intravitrealtriamcinolone acetonide ,intraocular pressure ,Disc edema ,Visual acuity ,genetic structures ,Optic disk ,intraocular lens ,Fluid-attenuated inversion recovery ,Fundus (eye) ,humphrey visual field ,surgery ,Diabetic macular edema ,gender ,diplopia ,medicine.diagnostic_test ,total cholesterol ,Indian ,wound construction ,microperimeter ,normative data ,Magnetic Resonance Imaging ,high density lipoprotein ,cataract ,putamen ,Female ,Radiology ,medicine.symptom ,optic neuritis treatment trial ,Adult ,posterior capsular opacification ,lipid profiles ,Optic Disk ,monocyte chemoattractant protein-1 ,Compressive optic neuropathy ,body mass index ,soluble intracellular adhesion molecule-1 ,retinal detachment ,medicine ,Contrast sensitivity ,triglyceride ,optic neuritis ,thyroid ophthalmopathy ,Optical coherence tomography ,business.industry ,Terpenes ,Barriers to follow-up ,Magnetic resonance imaging ,neem oil ,Hyperintensity ,multifocal visual evoked potential ,Insect Repellents ,business ,Follow-Up Studies - Abstract
A 35-year-old female was referred to our hospital with bilateral loss of vision of two days duration. She gave history of consumption of about 150 ml of neem oil five days back. Examination revealed no perception of light in both eyes. Both pupils were dilated and sluggishly reacting to light. Her fundus examination showed bilateral hyperemic, edematous discs and also edema extending along the superior and inferior temporal vascular arcade. Magnetic resonance imaging (MRI) scan showed bilateral putaminal regions with altered signal, hypointensities in T1-weighted images, hyperintensities on T2-weighted, images and hyperintense on Fluid Attenuation Inversion Recovery (FLAIR) images suggestive of cytotoxic edema due to tissue hypoxia. Her vision improved to 20/200 in both eyes with treatment after two months. This is the first case report of such nature in the literature to the best of our knowledge.
- Published
- 2014
46. Conjunctivitis due to Neisseria sicca: A case report
- Author
-
Alper Akçali, İlker Eser, Arzu Taskiran-Comez, and Muserref Tatman-Otkun
- Subjects
Male ,intracameral mydriatic solution ,retinoschisis ,Neisseriaceae Infections ,visual impairment ,retinal sensitivity ,lcsh:Ophthalmology ,no preoperative mydriatic ,pediatric cataract ,Ethnicity ,Homocysteine ,Diplococcus ,orbit ,posterior chamber intraocular lens fracture ,fixation ,vascular endothelial growth factor ,cholesterol granuloma ,ischemic optic neuropathy ,spontaneous fracture ,sutureless manual small-incision cataract surgery ,craniofacial defects ,Central retinal vein occlusion ,subconjunctival incision ,Ocular torticollis ,Polymerase chain reaction ,normative ,Haptic fracture ,retinal vein occlusion ,optic disc pit ,visual outcome ,Brief Communications ,Conjunctiva ,Indian population ,Clinical profile ,thyroid exophthalmos ,Microbiology ,intravitrealbevacizumab ,macular thickness ,Age ,superior oblique palsy ,Humans ,myopia ,macular edema ,Absent thumb ,Capsular tension ring ,toxin-induced encephalopathy ,retinal nerve fiber layer ,Conjunctivitis ,Decompression of the orbit ,eye diseases ,Ophthalmology ,Bacterial conjunctivitis ,lcsh:RE1-994 ,phacoemulsification ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Positive culture ,Limbus incision ,intravitrealtriamcinolone acetonide ,intraocular pressure ,Disc edema ,intraocular lens ,Neisseria sicca ,Eye Infections, Bacterial ,humphrey visual field ,surgery ,Diabetic macular edema ,gender ,diplopia ,Pathogen ,biology ,total cholesterol ,Indian ,wound construction ,microperimeter ,normative data ,Anti-Bacterial Agents ,high density lipoprotein ,cataract ,putamen ,optic neuritis treatment trial ,medicine.drug ,posterior capsular opacification ,lipid profiles ,monocyte chemoattractant protein-1 ,Compressive optic neuropathy ,netilmicin ,body mass index ,soluble intracellular adhesion molecule-1 ,retinal detachment ,stomatognathic system ,medicine ,Contrast sensitivity ,triglyceride ,limbal dermoid ,Bacterial Conjunctivitis ,optic neuritis ,Keratitis ,thyroid ophthalmopathy ,Optical coherence tomography ,business.industry ,Barriers to follow-up ,neem oil ,biology.organism_classification ,Capsular block syndrome ,optic neuropathy ,multifocal visual evoked potential ,Rhodotorula sp ,gram negative diplococcus ,Netilmicin ,Ophthalmic Solutions ,business ,Atypical ,Nager syndrome - Abstract
We report the first case, in Medline-based literature, of conjunctivitis caused by gram negative diplococcus, Neisseria sicca. Although it is not widely accepted as such, isolation from cultures of repeated eye swab samples suggests that N. sicca may be a pathogen in conjunctival infections. Positive culture for this organism should not be readily dismissed. Such conjunctivitis responded favorably to treatment with netilmicin eye drops.
- Published
- 2014
47. Spontaneous fracture of an implanted posterior chamber polyimide intraocular lens haptic: A case report
- Author
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Eung Kweon Kim, Haemin Kang, Kyung Eun Han, and Tae Im Kim
- Subjects
Male ,intracameral mydriatic solution ,medicine.medical_treatment ,retinoschisis ,visual impairment ,Fracture site ,Intraocular lens ,retinal sensitivity ,lcsh:Ophthalmology ,no preoperative mydriatic ,pediatric cataract ,Ethnicity ,Homocysteine ,orbit ,posterior chamber intraocular lens fracture ,fixation ,vascular endothelial growth factor ,cholesterol granuloma ,ischemic optic neuropathy ,spontaneous fracture ,sutureless manual small-incision cataract surgery ,craniofacial defects ,Central retinal vein occlusion ,subconjunctival incision ,Ocular torticollis ,Polymerase chain reaction ,Resins, Synthetic ,normative ,Haptic fracture ,retinal vein occlusion ,Capsular bag ,Decreased Visual Acuity ,optic disc pit ,visual outcome ,Brief Communications ,Indian population ,medicine.medical_specialty ,Clinical profile ,behavioral disciplines and activities ,thyroid exophthalmos ,intravitrealbevacizumab ,macular thickness ,Age ,superior oblique palsy ,Humans ,myopia ,macular edema ,Absent thumb ,Capsular tension ring ,toxin-induced encephalopathy ,retinal nerve fiber layer ,Phacoemulsification ,Decompression of the orbit ,eye diseases ,body regions ,Ophthalmology ,lcsh:RE1-994 ,phacoemulsification ,Fracture (geology) ,Toxic Optic Neuropathy Secondary to Consumption of Neem Oil ,Limbus incision ,intravitrealtriamcinolone acetonide ,intraocular pressure ,Disc edema ,genetic structures ,intraocular lens ,humphrey visual field ,surgery ,Diabetic macular edema ,gender ,diplopia ,Haptic technology ,Lenses, Intraocular ,total cholesterol ,Indian ,wound construction ,microperimeter ,Middle Aged ,normative data ,Prosthesis Failure ,Posterior chamber intraocular lens ,Eye Foreign Bodies ,high density lipoprotein ,cataract ,putamen ,optic neuritis treatment trial ,posterior capsular opacification ,lipid profiles ,monocyte chemoattractant protein-1 ,Compressive optic neuropathy ,body mass index ,Prosthesis Design ,soluble intracellular adhesion molecule-1 ,Diagnosis, Differential ,retinal detachment ,medicine ,Contrast sensitivity ,triglyceride ,Device Removal ,limbal dermoid ,optic neuritis ,Keratitis ,thyroid ophthalmopathy ,Optical coherence tomography ,business.industry ,Barriers to follow-up ,neem oil ,Capsular block syndrome ,Surgery ,optic neuropathy ,multifocal visual evoked potential ,Rhodotorula sp ,sense organs ,business ,Atypical ,Nager syndrome - Abstract
A 57-year-old male patient visited our clinic for decreased visual acuity in the right eye for 10 days. He denied any trauma history, but recalled that the symptom developed after straining. He had undergone uncomplicated phacoemulsification and posterior chamber intraocular lens (IOL) implantation in the bag of the right eye 11 years ago. The IOL was a three-piece silicone polyimide-haptics design. On slit-lamp examination, the IOL optic and proximal part of nasal fractured haptic were found in the anterior chamber. The distal part of fractured haptic was observed in the capsular bag. He underwent IOL exchange. The fracture site of the haptic was near the optic-haptic junction. This is the unique case report of a spontaneous fracture of an implanted posterior chamber polyimide IOL haptic, which implies the possibility of IOL haptic fracture in various haptic materials.
- Published
- 2014
48. Evaluation and Management of V pattern Strabismus in Craniosynostosis.
- Author
-
Elhusseiny AM, Huynh EM, and Dagi LR
- Subjects
- Humans, Ophthalmologic Surgical Procedures, Retrospective Studies, Strabismus etiology, Vision, Binocular, Craniosynostoses complications, Strabismus diagnosis, Strabismus surgery
- Abstract
V pattern strabismus is the most common ocular motor disorder reported in patients with craniosynostosis. Strabismus management may prove challenging, and few studies provide perspective on surgical approach. The purpose of this review is to discuss evaluation and surgical options for treating V pattern strabismus in patients with craniosynostosis. We provide a step-by-step approach to facilitate surgical planning.
- Published
- 2020
- Full Text
- View/download PDF
49. STRABISMUS SURGERY AS TREATMENT FOR OCULAR TORTICOLLIS
- Author
-
Mauno Vannas and Kaarina Koskinen
- Subjects
medicine.medical_specialty ,business.industry ,General Medicine ,Strabismus ,03 medical and health sciences ,Ophthalmology ,Ocular Motility Disorders ,0302 clinical medicine ,Oculomotor Muscles ,030221 ophthalmology & optometry ,Humans ,Medicine ,030212 general & internal medicine ,Ocular torticollis ,business ,Torticollis ,Strabismus surgery - Published
- 2009
50. A CASE OF OCULAR TORTICOLLIS SUCCESSFULLY OPERATED UPON
- Author
-
Mauno Vannas and Helvi Svanljung
- Subjects
0303 health sciences ,medicine.medical_specialty ,business.industry ,General Medicine ,medicine.disease ,Ocular Motility Disorders ,03 medical and health sciences ,Ophthalmology ,0302 clinical medicine ,030221 ophthalmology & optometry ,medicine ,Humans ,Ocular torticollis ,business ,Torticollis ,030304 developmental biology - Published
- 2009
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