By American Academy of Ophthalmology, Carl D. Regillo, MD
Offers present details from medical trials on significant retinal stipulations, together with age-related macular degeneration and diabetic retinopathy. comprises an outline of diagnostic thoughts in retinal imaging, electrophysiologic checking out, and new genetic techniques to diagnosing and classifiying retinal dystrophies and degenerations.
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Additional resources for 2007-2008 Basic and Clinical Science Course Section 12: Retina and Vitreous
N beeD at 1Dcrea1ed rilk for developiDg diplopia after her refractive turgeryf History, cover testing. and possibly comparing the manifest and cycloplegic refractions. 'Ihe reduced stereopsis might have also been a clue. 2. What IIDdiDp retulting from dlat tnting put her iD die 1Dcrea1ed rilk categwyfor diplopia! History ofstrabismus and strabismus surgery and a history of prism glasses, Considering the presence of a V pattern, she probably had measureable esotropia (at least in downgaze). She was also on the cusp of presbyopia.
FOLLOW-UP At the 2-month follow-up visit, the family reported that the head tum markedly improved right after the surgery. His overall Stereopsis 50aro-sec Additional Follow-up At the most recent post-operative visit 3 years after surgery, the e:mmination was stable, with 20/25 corrected visual acuity in each eye and a persistent residual head turn left of about 5°. Ductions and versions remained full. REVIEW/LESSONS LEARNED Idiopathic congenital nystagmus is characterized as conjugate, spontaneous, Involuntary ocular oscillations that appear within the first6 months of life.
Since there Is so much surgery to perform at a single setting, I find It very helpful to write out the four procedures with a dark marker on a large sheet of paper and post this page at the head of the bed before scrubbing in. d I wam families that the child may e:~perience sign1ficant discomfort for up to a week after surgery. d in some patients the nystagmus may become imperceptible with convergence-the oscillation is said to damp with convergence. 'Ibis observation inspired the Idea of divergence surgery to Improve visual acuity in nystagmus.
2007-2008 Basic and Clinical Science Course Section 12: Retina and Vitreous by American Academy of Ophthalmology, Carl D. Regillo, MD