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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2009, Number 2

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Rev Mex Oftalmol 2009; 83 (2)

Endotropia de ángulo variable asociada con retraso psicomotor

Díaz-Castañeda A, Fuentes-Cataño MC, Villaseñor-Solares J

Language: Spanish
References: 11
Page: 81-83
PDF size: 75.76 Kb.


ABSTRACT

Variable angle endotropia consists in convergent deviation, with a deviation angle greater than 10 diopters. The objective of this study was to determine the frequency of variable angle endotropia related to psychomotor developmental delay and its behaviour during a follow up period of one year. Forty four patients were included, 20 patients (45.45%) referred neonatal hypoxia, 10 patients (22.72%) were premature, 2 patients (4.54%) referred meningitis, 2 patients had cerebral palsy, one patient (2.27%) had Down syndrome, 7 patients (15.90%) referred other diagnosis and (4.54%) denied any antecedent of importance.
All patients were initially managed with spectacle correction. After follow up, in 10 patients (22.72%) angle of deviation remained constant, of these patients 50% had a deviation of less than 10 DP, the other 5 patients deviated between 11 and 25 DP in which surgery was proposed, only two of them accepted. Eleven patients (25%) reached orthoposition with optical correction and 2 patients (52.27%) remained with variable deviation. Surgical treatment is not the first line choice in these patients due to a higher frequency in recidivation and consecutive strabismus.


REFERENCES

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