Strabismus II Flashcards
definition of
Amblyopia
is the unilateral or bilateral decrease of best corrected visual acuity
when the amblyopia considered significant
if the different is 2 or more snellen lines
the different between 2 eyes
what is
Crowding phenomenon
is better when the patient is presented with single letters rather than a line of letters
classifications of Amblyopia
according to cause
- Strabismic: due to Strabismus
- Anisometropic: due to isometropia in one eye
- Stimulus deprivation: due to opacity or ptosis
- Bilateral ametropia: high smetrical refractive power
- Meridional: image blur in one meridian
when it related to RI (METRO); opia means eye; (Meridional=خط طول)
by the way
amblyopia mainly meas different, which type doesn’t
which type of amblyopia chractarized by two symmetrical eye
Bilateral ametropia
High symmetrical refractive power ; high hypermetropia
the others caractarized by (the difference between two eye in …)
treatment of amblyopia
- optical correction.
- penalization (by atropine or oclusion)
what is the meaning of Penalization
التغريم
close or drop atropine to the noraml eye
types of squint
- apparent squint
- true squint:
- heterophoria (latent) or heterotropia (manifist)
- Comitant or Incomitant
- Constant or alternating or Intermittent
Incomitant = gaze specific; The angle differs in various positions of gaze due to paralysis or
restriction
causes of apparent squint
esotropia
* Epicanthal fold
* Short interpupillar distances
* Negative angle kappa
exotropia
* Large inter pupillary distance
* Positive angle kappa
what is the meaning and types of heterophoria
latent squint (ocular alignment needs effort)
eso, exo, hyper, hypo -phoria
treatment of heterophoria
- correct any refractive errors.
- orthoptic exercise
- prism glass
- surgery (strength the week or vice versa)
types of esotropia
accomodative
1. refractive (fully/partial)
2. non-refractive (with conversion excess / accomodation weekness)
non-accomodative
which one associated with high AC/A ratio
non refractive accomodative esotropia
conversion is eliminated when he wear lens
complete refractive accomodative esotropia
conversion appears when he looks very neer
non refractive accomodative esotropia