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In exotropia the light lands on the medial aspect of the cornea. In esotropia the light lands on the lateral aspect of the cornea. In hypertropia the light lands on the inferior aspect of the cornea. In hypotropia the light lands on the superior aspect of the cornea. A cover test can tell you the extent of the eso/exo-tropia.
The Maddox rod is a handheld instrument composed of red parallel plano convex cylinder lens, which refracts light rays so that a point source of light is seen as a line or streak of light. [2] Due to the optical properties, the streak of light is seen perpendicular to the axis of the cylinder. [3] Maddox rod and pen torch used in Maddox rod testing
Many infants are born with their eyes slightly misaligned, and this is typically outgrown by six to 12 months of age. [33] Acquired and secondary strabismus develop later. The onset of accommodative esotropia, an overconvergence of the eyes due to the effort of accommodation, is mostly in early childhood. Acquired non-accommodative strabismus ...
It can be caused by significant or asymmetric refractive errors, strabismus (eye misalignment) or obstruction of the visual axis from conditions such as ptosis, corneal opacities or cataracts.
DVD can be revealed on ocular movement testing when one eye is occluded by the nose on lateral gaze. This eye will then elevate, simulating an inferior oblique over action. However, in a unilateral case, overaction of the superior rectus muscle in the unaffected dominant eye, can also be a causing factor as well as causing a V pattern exophoria.
A comprehensive eye examination including an ocular motility (i.e., eye movement) evaluation and an evaluation of the internal ocular structures allows an eye doctor to accurately diagnose exotropia. Although glasses and/or patching therapy, exercises, or prisms may reduce or help control the outward-turning eye in some children, surgery is ...
In a left esotropia, the left eye 'squints', and in a right esotropia the right eye 'squints'. In an alternating esotropia, the patient is able to alternate fixation between their right and left eye so that at one moment the right eye fixates and the left eye turns inward, and at the next the left eye fixates and the right turns inward. This ...
The misaligned eye will deviate inwards or outwards. The process is repeated on both eyes and then with the patient focusing on a distant object. The cover test is used to determine both the type of ocular deviation and measure the amount of deviation.
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