#53. Paralytic squint.

Question 1

What is PARALYTIC SQUINT?

Answer 1

LESIONS of the GAZE CENTERS, causing GAZE PALSY

Question 2

What are the CAUSES of PARALYTIC SQUINT?

Answer 2

• Grave’s Disease = ALTERS the contractility of the Ocular Muscles
• Ocular Myasthenia Gravis

Question 3

What are the SYMPTOMS of PARALYTIC SQUINT?

Answer 3

• Strabismus
• Gaze Palsy
• Double Vision
• Compensatory Head Posture

Question 4

What is the DIAGNOSIS for PARALYTIC SQUINT?

Answer 4

• EXAMINATION of the 9 DIAGNOSTIC POSITION of GAZE
• BIELSCHOWSKY HEAD TILT Test = Where TROCHLEAR Nerve Palsy is suspected
• MEASURE the ANGLE OF DEVIATION, using the HARMS TANGENT TABLE

Question 5

What is the TREATMENT for PARALYTIC SQUINT?

Answer 5

• SURGERY = PARALYTIC Strabismus MUST BE POSTPONED by a YEAR to ALLOW POSSIBLE Spontaneous Remission!
• PATCHING the Eye = SEVERE Diplopia
• EYEGLASS Lens w/ Prism Correction for PARALYSED eye