Surgical outcomes of isolated medial rectus palsy
7 April 2021
| Ivan Yip
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Paediatric Ophthalmology / Strabismus
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exotropia, imaging feature, isolated medial rectus palsy, orbit, strabismus surgery
Isolated medial rectus is a rare clinical entity. This prospective study of 32 patients from China showed that this was caused most commonly by iatrogenic injury (43.75%), trauma (37.50%) and congenital (18.75%) causes. An average of 60 ±25 prism dioptres...
Brain abnormality as risk factor for consecutive exotropia
4 February 2021
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
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Infantile esotropia, consecutive exotropia, magnetic resonance imaging, strabismus surgery, white matter damage of immaturity
The authors evaluated and compared the cerebral MRI findings in operated infantile esotropia cases with and without consecutive exotropia. This was a retrospective study of 28 patients. Group 1 had 17 cases of consecutive exotropia with a mean follow-up of...
Surgical outcome for cyclic strabismus
4 February 2021
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
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Cyclic strabismus, esotropia, surgery
The aim of this study was to report the outcome of surgical treatment in a series of seven cases of paediatric cyclic strabismus. This was a retrospective study of children with surgical treatment for the manifest cyclic deviation. Six children...
Surgical management of high myopia strabismus
4 February 2021
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
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High myopia, exotropia hypotropia complex, nasal loop myopexy
This is a small case series of three patients with unilateral or bilateral high myopia with exotropia and hypotropia. Surgery involved nasal loop myopexy between the medial and superior recti muscles with or without lateral rectus recession and / or...
Choice of cycloplegia regime
6 June 2020
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
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Cycloplegics, dark iris, hypermetropia, refractive outcome, retinoscopy, skin-pigmentation
The purpose of this randomised control trial (RCT) was primarily to compare the refractive outcome of atropine 0.5% (A) instilled twice daily at home 2.5 days before measurement versus two drops of 1% cyclopentolate (CC) in one eye versus one...
Combined recession surgery with Bupivacaine injection
5 June 2020
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
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Bupivacaine, esotropia, exotropia, strabismus
The aim of this study was to evaluate the amount of correction of sensory strabismus with Bupivacaine injection combined with antagonist muscle recession. This was a prospective study of nine patients aged 43.5 ±12.3 years; six males and three females....
Inferior oblique adherence syndrome
5 June 2020
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
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Inferior oblique anteriorization, hypotropia, inferior oblique adherence, limitation of levoelevation
A case is reported of a 14-year-old with inferior oblique muscle adherence and fat adherence following unilateral inferior oblique (IO) anteriorisation. Following surgery, the patient developed consecutive esotropia, ptosis and marked limitation of laevoelevation. Forced duction test was positive for...
Global prevalence of strabismus
5 June 2020
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
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Prevalence, esotropia, exotropia, meta-analysis, strabismus
With a need for relevant information to design plans for screening, early diagnosis and timely management, the aim of this study was to present a systematic review of the sources to provide an estimate of the global prevalence of strabismus...
Functional outcomes after exotropia surgery
5 June 2020
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
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Stereopsis, exotropia, quality of life, strabismus surgery incisional
The authors used the Chinese version of the AS20 and A&SQ questionnaires to explore if successful postoperative alignment could significantly improve health related quality of life (HRQOL) in adults with childhood large angle exotropia. They further evaluated the relationship between...
Consecutive exotropia features
1 August 2019
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
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Consecutive exotropia, slipped muscle, stretched scar
This study sought to detect abnormal scleral attachment with comparison of histopathological findings in consecutive exotropia. The study also considered the success rate of medial rectus resection and advancement, dose response and evaluate potential preoperative factors that might indicate presence...
Prism adaptation outcomes in convergence excess esotropia
1 August 2019
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
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Convergence excess, esotropia, prism adaptation, strabismus
This study reports the changes to angle of deviation following prism adaptation in a group of 58 patients with convergence excess esotropia and their surgical outcomes. Age at prism adaptation was 7.2 (SD1.82) years. One child refused prisms and two...
Microtropia as an amblyopia indicator
1 August 2019
| Fiona Rowe (Prof)
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Paediatric Ophthalmology / Strabismus
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Amblyopia, anisometropia, microtropia, occlusion
This study was undertaken to determine if microtropia with identity (straight eye anisometropia) is a reliable indicator of amblyopia following optical correction. This was a retrospective review of 532 children aged four to five years. After two months of glasses...
