mahmoud aly rageh , md.€¦ · congenital esotropia * essential infantile esotropia *idiopathic...
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*Mahmoud Aly Rageh , MD.
*Research Institute of Ophthalmology.
*
*Esotropia Occuring during the
first 6 months of life.
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**Congenital Esotropia
*Essential infantile Esotropia
*Idiopathic infantile Esotropia
*Early onset Esotropia
*Early Acquired Esotropia
*Ciancia’s syndrome
*
*Subject of much debate with regard
to its naming, diagnostic features ,
treatment and its onset.
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*Large size 15 degrees or more.
*Stable
*Variable.
*No CNS anomalies
*Pseudo defective abduction
*Inferior oblique overaction
*DVD
*Latent and manifest latent nystagmus
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*Affecting either eye or cross fixation
*
*Any state of refraction
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*Unknown
*
*Accommodative in 15%
*Hypertonic medial recti without nystagmus.
*Hypertonic medial recti with nystagmus.
*(Nystagmus blockage syndrome-Ciancia’s
Syndrome)
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*
*Botulinum toxin
*Bimedial recession
*
*Recently between 6 and 9 months
(American School)
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*Microtropia of 10 prism diopters with
peripheral fusion and gross stereopsis
*
*
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*
*Between one and two years
*
*
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*
*Penalization for near if amblyopia is
present
*
*Bimedial anchored hang back recession
with or without faden sutures .
*Surgical correction of other EOMs
anomalies
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*
*NBS
*Variable angle
*Stable large angle that disappears
under G.A.
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*
*Partially accommodative esotropia
*Angle not corrected under G.A
*
*Premacular esotropia
*Postmacular esotropia
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*
*Better for postmacular esotropia
*
*Residual esotropia 5-10%
*Consecutive exotropia (late) 30%
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**Immediate
*
*