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Results for “ACCOMMODATION (OCULAR)”

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At least 1,495 records · Page 83Linked to original sources
PubMed1979

Internal ophthalmoplegia following inferior oblique myectomy: a report of three cases.

Three patients are reported in whom paralysis of accommodation and mydriasis (internal ophthalmoplegia) developed following inferior oblique myectomy. In all three patients, accommodation eventually returned to normal; in two, mild anisocoria persisted; in one patient, pupillotonia was noted after 2 1/2 years. The mechanism of this previously unreported surgical complication is thought to be excessive stretching of the nerve to the inferior oblique muscle with secondary trauma to the ciliary ganglion.

Accommodation, Ocular↗
PubMed1981

Clinical and computer-assisted analyses of preoperative and postoperative accommodative convergence and accommodation relationships.

A group of 329 patients who underwent bilateral medial rectus muscle recession for esodeviation were analyzed for factors most closely correlated with the outcome. The data evaluated included age of onset of strabismus, refractive error, year of surgery, age of surgery, sex, preoperative esodeviation, and clinical assessment of preoperative and postoperative heterophoria. Linear regression analysis was used to evaluate the relationships of these parameters. Computer-assisted logistic regression analyses and discriminant analyses were used to assess predictive variables for a postoperative increase or decrease in the accommodative convergence and accommodation (AC/A) relationship represented by the clinical assessment method.

Accommodation, Ocular↗
PubMed1981

Cycloplegic refraction in esotropic children. Cyclopentolate versus atropine.

Retinoscopy was performed on a population of predominantly white esotropic children younger than 5.5 years with cyclopentolate 1% and atropine 1.0%. Atropine 1.0% revealed +0.34 diopters more hyperopia than cyclopentolate 1.0%, when the mean differences between the two drugs were examined. Mean difference analysis would probably indicate that atropine retinoscopy was unnecessary. However, 22% of the children had +1.0 diopters or more of hyperopia uncovered by atropine. This significant subpopulation suggests that in young patients with esotropia, an atropine refraction is essential to uncover the maximum amount of hyperopia. Almost all of this subgroup with +1.00 or greater hyperopia had an initial cyclopentolate retinoscopy of +2.00 diopters or more. Therefore, retinoscopy using atropine cycloplegia becomes even more important in this population. There was a trend for the greater differences to be in children older than age 2 years. However, these values were not statistically significant.

Accommodation, Ocular↗
PubMed1983

Accommodative esotropia long range follow-up.

Thirty-nine adult patients treated for typical (refractive) accommodative esotropia in childhood continue to have problems because they have not outgrown their hypermetropia, and the majority have not developed stable binocular vision. Their hypermetropia became maximal (median 5.7 diopters) by age 6, decreased in adolescence, and then stabilized (median 4 diopters). Thirty-eight of the 39 adults wear correcting lenses full-time. Nearly all depend on relaxed accommodation to maintain alignment when they remove their glasses. Ten patients, all of whom received treatment before a constant esotropia developed are essentially orthophoric with glasses and have normal binocular vision. The remainder have small-angle deviations with glasses, 14 with varying degrees of amblyopia and peripheral fusion and 15 with anomalous correspondence and suppression. As adults, only one patient with normal binocular function has required surgery whereas 13 of the patients lacking normal fusion have had surgery for increasing esotropia, postoperative exotropia, or consecutive exotropia.

Accommodation, Ocular↗