Duane's Flashcards
1
Q
congenital or acquired?
A
congenital
2
Q
symptoms?
A
usually none bc px compensates with head turn or there is suppression
3
Q
signs?
A
- complete or partial loss of abduction
- eso/exo/orthophoria in pp
- poor convergence
- up or down shoot on aDduction
- wide palpebral fissure on attempted aBduction
3
Q
type A?
A
loss of aBduction > aDduction
3
Q
type B?
A
loss of aBduction only
4
Q
type C
A
loss of aDduction > aBduction
5
Q
investigation
A
VA
CHP
CT
OM
PFR/stereopsis
PCT/Hess
6
Q
management if under 8
A
check ocular systemic associations
ensure BSV is maintained
treat any amblyopia
give specs if needed
ROUTINE REFERRAL
7
Q
if over 8 years old - management
A
check ocular systemic associations
treat if severe (cosmesis/deviation_
8
Q
treatment
A
use of CHP
occlusion
prisms
surgery
botox
