By Arthur L. Rosenbaum MD, Alvina Pauline Santiago MD

Introducing a textual content that gives assistance for the clinician within the evaluate and administration of all sorts of strabismus in either adults and youngsters. targeting scientific administration, this article places into standpoint glossy diagnostic assessments, and discusses the diversity of remedies on hand as soon as a case of strabismus has been evaluated. Covers either ordinary and cutting edge surgical options by using colour intraoperative photos. additionally discusses ideas of surgical administration and the several surgeries widespread within the administration of those complicated difficulties.

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Romano PE, von Noorden G K : Atypical responses to the four-diopter prism test. Am J Ophthalmol 1969:67:935. 46. Rosenbaum A L. Bateman JB . Bremer D L, et al: Cycloplegic refraction in esotropic children: Cyclopentolate versus atropine. Ophthalmology 1981:88:1031. 47. Rubin S E . Wagner RS: Ocular torticollis. Surv Ophthalmol 1986:30:366. 48. Simons K: A comparison of the Frisby, Random-Dot E. TNO. and Randot circles stereotests in screening and office use. Arch Ophthalmol 1981:99:446. 49. Simons K.

Dobson V, Teller IDY: Visual acuity in human infants: A review and comparison of behavioral and electrophysiological studies. Vision Res 1978:18:1469. 17. Edelman P: Tricks and traps in ihe diagnosis and management of amblyopia. Am Orthopt J 1995:45:75. 18. Ellis G S. Hartmann HE, Love A. et al: Teller acuity cards versus clinical judgment in the diagnosis of amblyopia with strabismus. Oph­ thalmology 1988:95:788. 19. France T: Assessment of visual acuity using clinical evaluation. Teller acuity cards and sweep V E C P testing.

The Hirschberg24 cor­ neal light reflex test relies on observing reflected light on the cornea from a light source held 14 inches away. If the eyes are deviated, the light reflex will fall on different locations in the deviating and fixing eyes. The reflex is displaced nasally in exotropia and temporally in esotropia. Each millimeter of decentration has classically been taught to equal 7 degrees or 15 PD of misalignment. 5 mm in diameter, a reflex displaced to the pupillary margin is 15 degrees; to halfway between the pupil and limbus, 30 degrees; and to just outside the limbus, 45 degrees.

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