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Biomedical subjects

S Morax

Publications and source records attributed to S Morax.

At least 73 records · Page 4Linked to original sources
PubMed1984

Oculo-motor disorders in craniofacial malformations.

Based on 77 observations including telorbitism, craniofacial stenosis (C.F.S.), and plagiocephalies, oculo-motor disorders involving horizontal and vertical imbalance occur very frequently. Abnormalities in the transverse plane (telorbitisms, craniofacial stenoses) give orbital divergence and exotropia. Orbital extorsion with a significant antimongoloid palpebral fissure, may be the cause of rectus muscle extorsion. Abnormalities in the vertical plane (plagiocephalies) induce hypertropia. Abnormalities in the sagittal plane (C.F.S.) lead to exotropia with exorbitism, the V syndrome with double up-shoot. These oculo-motor disorders seem to be the consequence of these orbital structure abnormalities, sometimes combined with sensory factors.

Acrocephalosyndactylia↗
PubMed1984

Change in eye position after cranio-facial surgery.

Twenty-nine patients have undergone major subtotal orbital translocation surgery between 1976 and 1980. Extra-ocular muscle function has been studied before and after orbital surgery. Medial orbital translocation, like sagittal orbital translocation, produces a decrease of exotropia; sometimes there is no change which proves the importance of well-established binocular vision. Orbital osteotomy in the three planes can produce a modification of the primary position of a vertical imbalance but it has no action on the vertical movements. The ophthalmologist can predict the post-operative result when he knows what type of ocular abnormality exists and what type of orbital surgery will be performed. He can also discuss the timing of strabismus surgery.

Craniofacial Dysostosis↗
PubMed1984

[Keratomycosis and keratoplasty].

Three cases of corneal perforation in keratomycosis are reported. In the first two cases the etiological diagnosis had been made from the anatomo-pathological examination of the excised corneal buttons. The mycotic origin in the third case was known before perforation from corneal cultures. Although the prognosis of this condition is usually poor, the post-keratoplasty evolution in the three cases was uncomplicated. The authors analyse the peculiarities of corneal mycotic abscess and discuss the appropriate diagnostic approach and management. Treatment must be performed before intraocular mycotic invasion occurs, because of the poor intraocular diffusion of antifungal agents. In this case, penetrating keratoplasty is not as dangerous as previously reported; and moreover, allows simultaneous treatment of the mycosis and the anatomical and functional repair of the cornea.

Abscess↗
PubMed1984

[Surgical treatment of diplopia caused by fractures of the orbital floor].

Oculomotor disturbance resulting from orbital floor fractures have different etiologic factors, sometimes damage of one of the ocular motor nerves, caused by direct injury to the orbit; this damage occurs also to one or more of the extrinsic ocular muscles, especially the obliques; frequently, the diplopia is caused by prolapsed orbital tissues with or without muscle entrapment or by a muscle fibrosis; when the diplopia appears after orbital floor reconstruction there is often a palsy of the inferior rectus muscle in front of silicone implant or bone graft on the orbital floor. In oculomotor disturbance after orbital floor fracture, the first stage will be to recognize the mechanism of the diplopia by a clinical examination, motility in the nine positions, Hess Charts, binocular vision and field, forced duction, radiography and sometimes coronal computed tomography which also allow visualization of soft tissues densities, including all extraocular muscles. If there is an indication of orbital surgery, it will be done always in first; oculomotor surgery will be done if necessary at the second stage, if there is a permanent diplopia without evolution during six months. The purpose of the treatment is to obtain orthophoria in primary position and in down gaze. A series of cases of fracture of the orbital floor with resulting diplopia are described. The method, the time, and the indications of orbital or oculomotor surgery are discussed according the variety of cases.

Adult↗
PubMed1984

[Dehiscence and disinsertion of the aponeurotic bundle of the upper eyelid levator in acquired ptosis].

Aponeurotic defects and disinsertion of the levator aponeurosis are responsible for many cases of acquired ptosis. The typical clinical findings in aponeurotic defects are: history of prior orbital swelling, injury, ocular surgery, blepharochalasis; good to excellent levator function, thinning of the eyelid above the tarsus, high to absent lid crease, and normal Müller's muscle function. The purpose of the treatment is to repair a defect or advance the aponeurosis onto the tarsus. Levator aponeurosis surgery was used to treat 18 upper eyelids with acquired ptosis. Local anesthesia and surgery from an anterior approach were used in all cases. The advantages of this technique are: The lid height is determined by asking the patient to look in various fields of gaze. A blepharoplasty can be performed when necessary. The lid crease is formed. The exposition of the levator aponeurosis disinsertion is easier to recognize.

Adult↗
PubMed1983

[Significance of the "V" syndrome with double "up shoot". Insufficiency of the two superior oblique muscles in craniofacial malformations].

Craniofacial malformations (telorbitism, craniofaciostenosis, plagiocephalia, Franceschetti's syndrome) are frequently associated with oculomotor anomalies. The most common vertical anomaly is the existence of a "V" syndrome with double "up shoot", with deficiencies in the two superior oblique muscles. Several mechanisms may be involved in the origin of this anomaly, related to the anatomical orbital malformation: orbital torsion with antimongoloid clefts responsible for a syndrome of macular pseudo-ectopia with extorsion of the 4 rectus muscles; plagiocephalia responsible for sagitallization of the inferior obliques; retromaxillia with exorbitism responsible for modification of muscle contact arches. Muscle agenesis is very rarely observed. The pathogenesis of these different mechanisms is discussed based on a study of 64 cases.

Craniofacial Dysostosis↗