Purpose: To assess and compare sensory-motor status and clinical features of type I and type II Purpose: To assess and compare sensory-motor status and clinical features of type I and type II acute acquired concomitant esotropia (group A) and decompensated monofixation syndrome (group B). Methods: In a retrospective, comparative study twenty-six patients, with a confirmed postoperative diagnosis of types I and II acute acquired concomitant esotropia and monofixation syndrome, were enrolled. A two-tailed unpaired t-test and a two-tailed chi-square test were performed to compare angle deviation and sensory-motor status under viewing conditions and after prismatic adaptation test and progressive prism test of two groups. Results: All of the patients of group A and 4 patients (33%) of group B complained of diplopia under viewing conditions, at the Worth’s 4 dot and Bagolini striated glasses test. The TNO stereo test showed the total absence of stereopsis in 6 patients in group B and a significantly lower stereoacuity in group A in the remaining six patients (p<0.0001). The Prismatic adaptation test was positive in all of the patients in group B and in 10 patients (71%) in group A (p=0.39). The value of the angle deviation after progressive prism test was significantly higher in group B than group A (p = 0.02). At the end of the progressive prism test all of the patients in group A and only two patients in group B were orthotropic (p=0.01). Conclusions: Bagolini striated glasses and Worth’s 4 dot tests under viewing conditions, and responses under prisms allow for the differentiation of the two forms and lead to an accurate aesthetic and functional prognosis. Keywords: acute acquired concomitant esotropia, decompensated monofixation syndrome, prismatic adaptation test, strabismus, diplopia.

Savino, G., Abed, E., Rebecchi, M. T., Spreca, M., Tredici, C., Dickmann, A., Acute acquired concomitant esotropia and decompensated monofixation syndrome: a sensory-motor status assessment, <<CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE>>, 2016; 2016/51 (4): 258-264. [doi:10.1016/j.jcjo.2016.02.003] [http://hdl.handle.net/10807/83900]

Acute acquired concomitant esotropia and decompensated monofixation syndrome: a sensory-motor status assessment

Savino, Gustavo
Primo
;
Abed, Edoardo
Secondo
;
Rebecchi, Maria Teresa;Tredici, Costanza
Penultimo
;
Dickmann, Anna
Ultimo
2016

Abstract

Purpose: To assess and compare sensory-motor status and clinical features of type I and type II Purpose: To assess and compare sensory-motor status and clinical features of type I and type II acute acquired concomitant esotropia (group A) and decompensated monofixation syndrome (group B). Methods: In a retrospective, comparative study twenty-six patients, with a confirmed postoperative diagnosis of types I and II acute acquired concomitant esotropia and monofixation syndrome, were enrolled. A two-tailed unpaired t-test and a two-tailed chi-square test were performed to compare angle deviation and sensory-motor status under viewing conditions and after prismatic adaptation test and progressive prism test of two groups. Results: All of the patients of group A and 4 patients (33%) of group B complained of diplopia under viewing conditions, at the Worth’s 4 dot and Bagolini striated glasses test. The TNO stereo test showed the total absence of stereopsis in 6 patients in group B and a significantly lower stereoacuity in group A in the remaining six patients (p<0.0001). The Prismatic adaptation test was positive in all of the patients in group B and in 10 patients (71%) in group A (p=0.39). The value of the angle deviation after progressive prism test was significantly higher in group B than group A (p = 0.02). At the end of the progressive prism test all of the patients in group A and only two patients in group B were orthotropic (p=0.01). Conclusions: Bagolini striated glasses and Worth’s 4 dot tests under viewing conditions, and responses under prisms allow for the differentiation of the two forms and lead to an accurate aesthetic and functional prognosis. Keywords: acute acquired concomitant esotropia, decompensated monofixation syndrome, prismatic adaptation test, strabismus, diplopia.
Inglese
Savino, G., Abed, E., Rebecchi, M. T., Spreca, M., Tredici, C., Dickmann, A., Acute acquired concomitant esotropia and decompensated monofixation syndrome: a sensory-motor status assessment, <>, 2016; 2016/51 (4): 258-264. [doi:10.1016/j.jcjo.2016.02.003] [http://hdl.handle.net/10807/83900]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/83900
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