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Squint Clinic

Squint Clinic. L. V. Prasad Eye Institute. Hyderabad. Formal Orthoptic Diagnostic Aid:. 1 2 3. management is traditional rather than rational. Orthoptic Report. Getting an orthoptic report is like kissing your own sister It doesn’t lead anywhere. Practical Approach To Strabismus.

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Squint Clinic

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  1. SquintClinic L. V. Prasad Eye Institute Hyderabad

  2. Formal Orthoptic Diagnostic Aid: 1 2 3 management is traditional rather than rational

  3. Orthoptic Report Getting an orthoptic report is like kissing your own sister It doesn’t lead anywhere

  4. Practical Approach To Strabismus

  5. Definition of Strabismus • When the two visual axes do not intersect at the object of attention

  6. Aim of Examination • To determine the normality or abnormality of : • The sensory apparatus • The motor apparatus • In a valid & repeatable manner

  7. Information Required From Exam • Bifoveal Fusion • Nature and degree of Deviation • Fusional Vergences • Measurements • If Tropia – characteristics of Suppression scotoma

  8. Factors to Be Controlled • Accommodation • Fixation • Fusional vergences

  9. All Tests • Cycloplegic retinoscopy • Refractive errors corrected • Accommodative target for distance and near

  10. Sequence of Clinical Tests • Bi foveal fusion • Fusional vergences • Deviations & Measurements • Rotations, A/V, Head tilt • Limitation of movements • Restriction VS weakness • Characteristics of suppression

  11. Doctor Must Do the Examination Personally

  12. Cover Test

  13. Exotropia

  14. Esotropia

  15. Alternate Divergent Squint

  16. Un - Cover Test

  17. Un - Cover Test

  18. Exophoria – Fusional Reflex

  19. Exophoria – Fusion Movement

  20. Intermittent Divergent Squint

  21. Intermittent Divergent Squint

  22. Prism Bar Cover Test

  23. Ocular Movements

  24. every limitation of movement must be checked uniocularly

  25. Patterns : Rising Eye

  26. Patterns : Falling Eye

  27. Testing For A-V Pattern

  28. No A or V

  29. V Pattern

  30. A Pattern

  31. 10 ET - 3 - 3 10 RXT L/R +30 R/L +30 +4 +4 40 XT Recording Results

  32. Recording Results 10 ET - 3 {-3} 10 RXT L/R +30 R/L =30 +4 +4 40 XT

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