1. Acute acquired concomitant esotropia and decompensated monofixation syndrome: a sensory-motor status assessment
- Author
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Anna Dickmann, Costanza Tredici, Edoardo Abed, Maria Spreca, Maria Teresa Rebecchi, and Gustavo Savino
- Subjects
Adult ,Male ,medicine.medical_specialty ,Vision Disparity ,Visual acuity ,Adolescent ,genetic structures ,Visual Acuity ,Monofixation syndrome ,Group B ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Diplopia ,medicine ,Humans ,Child ,Retrospective Studies ,Depth Perception ,Esotropia ,business.industry ,Retrospective cohort study ,General Medicine ,medicine.disease ,Surgery ,Stereoscopic acuity ,Ophthalmology ,Eyeglasses ,Oculomotor Muscles ,Child, Preschool ,Concomitant ,Acute Disease ,030221 ophthalmology & optometry ,Female ,medicine.symptom ,business ,Psychomotor Performance ,030217 neurology & neurosurgery - Abstract
To assess and compare sensory-motor status and clinical features of type I and type II acute acquired concomitant esotropia (group A) and decompensated monofixation syndrome (group B).In a retrospective, comparative study, 26 patients with a confirmed postoperative diagnosis of type I and II acute acquired concomitant esotropia and monofixation syndrome were enrolled. The 2-tailed unpaired t test and 2-tailed χ(2) test were performed to compare angle of deviation and sensory-motor status under the environmental conditions and after prismatic adaptation test and progressive prism test of 2 groups.All of the patients of group A and 4 patients (33%) of group B experienced diplopia under viewing conditions in the Worth's 4 dot and Bagolini striated glass tests. The TNO stereo test showed the total absence of stereopsis in 6 patients in group B and a significantly lower stereoacuity in group A in the remaining 6 patients (p0.0001). The prismatic adaptation test was positive in all of the patients in group B and in 10 patients (71%) in group A (p = 0.39). The value of the angle of deviation after the progressive prism test was significantly higher in group B than in group A (p = 0.02). At the end of the progressive prism test, all of the patients in group A and only 2 patients in group B were orthotropic (p = 0.01).Bagolini striated glass and Worth's 4 dot tests under viewing conditions and responses under prisms allow for the differentiation of the 2 forms and lead to an accurate aesthetic and functional prognosis.
- Published
- 2016
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