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| Author | Subject: BV |
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 pvithlani
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BV
Jul 06, 2007 21:21:35 'Only treat a sensory adaptation to strabismus if you are certain that you can correct the motor deviation.' I read this in Pickwells. How can we be sure that we can correct the motor deviation and not cause diplopia? Is correcting the motor deviation simply supplying the Rx, or is this to do with exercises and trying the increase fusional reserves? thanks |
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Stephen Meynell
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RE: BV
Jul 07, 2007 20:28:33 What Pickwell is saying is that if you get the eyes up to binocular simultaneous vision - and they still have a squint = then they will be plagued by diplopia. Ways of correcting the motor deviation would depend on the type of squint: you can help a esot with plus lenses for example; or by giving exercises. Other squints may need an operation. Experience is best guide for two reasons: 1) care in selecting suitable patients to treat. 2) treating the sensory adaptions (amblyopia and EF)usually goes hand in hand with exercises to straighten the eyes. If you were starting to get intractable diplopia then you would encourage the fusional reserves by exercises, and occasionally operating. |