By Kenneth W. Wright, Yi Ning J. Strube
Color Atlas of Strabismus surgical procedure: recommendations and Techniques offers concise, entire descriptions of surgeries via one of many world's top experts.
The accompanying DVD brings the publication to lifestyles with actual time, narrated video of the systems. Dr. Wright's narration not just explains the strategies, yet offers pearls and pitfalls to permit for the very best sufferer outcomes.
Pediatric ophthalmologists, ophthalmology citizens and fellows, in addition to common ophthalmologists, will locate this atlas to be necessary to their work.
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Additional info for Color Atlas of Strabismus Surgery Strategies and Techniques
Miotics can be tried if the patient has a high AC/A ratio, and has minimal hypermetropia. In most cases, however, bifocal spectacles are the treatment of choice. Another indication for the use of miotics is in children who cannot wear spectacles or contact lenses. This is most useful for short periods of time, such as during the summer months when children are swimming. 03% every morning. 125%. Over the past 10 years the author (KWW) has used miotics once. Adverse Effects of Miotics: Topical phospholine iodide prolongs the effect of succinylcholine and may prolong respiratory paralysis after surgery.
00 sphere Etiology Hypermetropia associated with increased accommodation to achieve a clear image resulting in over convergence and esotropia. Clinical Evaluation Cycloplegic Refraction: Use cyclopentolate 1% two doses, 5 minutes apart and refract 30 minutes after the last dose. Consider using atropine if the cycloplegia with cyclopentolate is inadequate. Amblyopia: First prescribe the full hypermetropic correction. After wearing full correction for 4 weeks evaluate for ﬁxation preference. Strong preference for one eye indicates amblyopia.
2. Wright KW, Bruce-Lyle L. Augmented surgery for esotropia associated with high hypermetropia. J Pediatr Ophthalmol Strabismus 1998;30:167–170. 5 Exotropia Intermittent Exotropia—X(T) Intermittent exotropia is a large exophoria that intermittently breaks down to an exotropia. 1). When fusing, the eyes are straight and stereo acuity is excellent, usually 40 seconds of arc. When tropic, there is large hemi-retinal suppression of the deviated eye. It is common for patients to show a preference for one eye, however, resist the temptation to label the deviation as a right or left exotropia.