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At least 1,369 records · Page 76Linked to original sources
PubMed1987

[Critical study of sectorial occlusion in the treatment of strabismus in children].

Sector occlusion, already described in 1953, has been used regularly since Berrondo's first publication on the subject in 1967 by a great number of ophthalmologists and orthoptists for convergent concomitant and sometimes divergent strabismus treatment. Sectors limit the field of fixation of each eye, in order to modify the optomotor reflex to restore and maintain the sensory and motor alternation. The mostly used sector designs are the symmetrical or asymmetrical binasal ones. The way of action of middle, narrow or broad, straight or oblique, or eventually "V" shaped binasal sectors can easily be analysed; their application does'nt present any particular difficulties; their reproduction is easy. Such is not the case of the so called "buridanization", location/observation and other numerous sophisticated shapes suggested by Berrondo. Sector-occlusion indications, advantages and disadvantages, limits and counter-indications are related in details. There is no doubt that binasal sectors represent a major acquisition for concomitant strabismus visual reeducation; they are irreplaceable in the treatment of congenital strabismus.

Amblyopia↗
PubMed1987

Exotropia associated with defective accommodation.

Despite the close association of convergence and accommodation, accommodative dysfunction is not often associated etiologically with exotropia. We studied 13 adolescent and young adults having intermittent exotropia and severely reduced accommodative function. Most patients had a prolonged history of visual symptoms that had not responded to therapy in the past. Clinical testing indicated that the patients had severely reduced amplitudes of accommodation and difficulty sustaining accommodation. Exotropia was manifest when the accommodative response was inadequate; relative orthophoria existed when the accommodative response was adequate. Treatment of the accommodative defect as well as the strabismus was successful for some patients. We recommend careful evaluation of accommodation for adolescent and young adults with exotropia to rule out an accommodative defect as a contributing cause.

Accommodation, Ocular↗
PubMed1987

Management of a young esotrope using vision therapy and prismatic prescription.

This case report illustrates the important issues concerning optometric management of the pediatric patient presenting with esotropia. Appropriate treatment options and prognostic factors are covered. The case demonstrates the successful, sequential treatment of a young, early-onset, esotropic patient through vision therapy and prismatic lens prescription.

Child, Preschool↗
PubMed1986

[Primary intermittent exotropia and its treatment].

After reviewing literature concerning IE, the following conclusions can be pointed out. The IE is a mild form of strabismus, provided that all the disturbed parameters, especially the processes on inhibition, should be involved in the treatment (in this case, prism looks to be the best method because of its efficiency all day long and because it does not force the patient to exercises more or less tedious.

Accommodation, Ocular↗