tropia

Question 1

benefits of squint surgery

Answer 1

• cosmetics
  reduce dip, eye strain
  sometimes improve steropsis
  can make amblyopia therapy less intense

good for newly formed squints- that haven’t developed adaptations like supression or amblyopia yet or can’t as they are an adult

Question 2

limitations of squint sugery

Answer 2

• further surgery being needed to full correct squint - i.e if squint is severe
  over correct or under correct
  -permenant dip
• an infection- build up of pus or fluid around the eye . may require tx with antibiotics

eye muscles slipping out of pos i.e redrifting into trope may need muscles to correct for this

Question 3

what is muscle resection

Answer 3

strengthening a weak muscle by shortening it

Question 4

what is muscle recession

Answer 4

Weakening an overactive muscle by reattaching it further back on the eye.

Question 5

Recording tropia

Answer 5

size, eye , type
with/without diplopia

alternating/R/L
type
prism
distance
/near
i.e mod R SOT c dip

Question 6

What is a tropia?

Answer 6

tropia is a misalignment of the eyes that is always present. Even when the eyes are both open and trying to work together.

One eye fixates and the other deviates

A tropia is the resting position that your eyes go to when covered or when fusion is broken by repetitively alternately covering each eye.

can be seen without the cover test

Question 7

tropia

Answer 7

movement of the eye when its been covered

Question 8

types of esotropia

Answer 8

constant
constant sot
infantile sot

intermittent
fully accommodative
CE sit
DC esop

cyclic sot - varies between straight and large angle sot in rhythmic cycle very 48hrv

Question 9

management of sot

Answer 9

• full correct any hypermetropic
  -treat amblyopia
  reduce myopic rx but still maintain good va
• CE bif caris bil medial rectus recession , near sit

surgery
prism small angle dev
botunillium toxinh

Question 10

types of xot

Answer 10

congenital xot- constant
secondary not
intermittent xot (dx, nr, non specific)

Question 11

management of xot

Answer 11

• treat amblyopia
  bilateral LR RESCESSION / MR RESECTIOM LR RECESSION
• convergence exercises- nr xot
  BI prism to maintain bsv at near

Question 12

cause of hyper t and management

Question 13

what causes tropic

Question 14

what us m9

Question 15

microtropia

Answer 15

This small-angle strabismus is measuring less than 5 degrees

Question 16

what is Microtropia without identity

Answer 16

va - amblyopia at least 1 line
ct sm tropia
sensory fusion ARC x on baggolinni gas
reduced stereopsis=The brain adapts to the misalignment by remapping the visual input from the deviated eye to correspond with the straight eye, reducing the risk of diplopia but potentially complicating treatment.

ct shows tropia as eye switches bw these points on ct

Question 17

what is the management of Microtropia

Answer 17

• prescribe significant rx
  treat amblyopia

Question 18

in general what is the management of tropia

Answer 18

rx correction - accomodative sot
occlusion therapy
Prism Glasses: Used to alleviate diplopia (double vision) by shifting the image to align with the deviating eye’s image, providing binocular vision without requiring the eye to move.
onvergence Exercises:
Botulinum Toxin (Botox)

Temporary Paralysis: Botox injections into specific eye muscles can temporarily weaken overactive muscles, helping to align the eyes. This can be a treatment option for certain types of strabismus.

Question 19

adjustsable

Question 20

non adjustable