Retour à la
bibliographie de Juillet 2009Skew deviation. Strabismological
diagnosis and treatment alternatives
(Skew déviation : diagnostic strabologique et traitements alternatifs)
Moguel-Ancheita S,
Castellanos-Pérez Bolde CG, Orozco-Gómez LP.
Servicio de Estrabismo, Centro Médico Nacional 20 de Noviembre, Instituto de
Seguridad y Servicios Sociales para los Trabajadores del Estado, México, D.F.,
Mexico.
smoguel@prodigy.net.mx
BACKGROUND: We undertook
this study to analyze diagnostic and treatment alternatives in patients with
skew deviation (SD).
METHODS: This is a prospective, observational and longitudinal study of
patients with SD. The study took place in a third-level medical center during
the period from September 2007 to May 2008. Strabismological exploration,
multidisciplinary diagnosis and treatment alternatives were analyzed.
RESULTS: Ten patients presenting SD were studied. Diagnoses were multiple
sclerosis, arteriovenous malformation, epilepsy, hydrocephalus, ischemic
encephalopathy, cortical atrophy, hypoplasia of corpus callosum and thalamic
hemorrhage. Psychomotor retardation was present in 80%. Other diagnoses were
Cogan apraxia, Parinaud syndrome, see-saw nystagmus, Foville syndrome, and
hemiplegic alterations. Related strabismuses were exotropia (5), esotropia (3),
hypertropia (2), and dissociated vertical deviation (1). Lesions of II, III and
VII cranial nerves were found.
CONCLUSIONS: Complete strabological study allows a better diagnosis of
the lesion and consequently relapsing disease in order to achieve a better
treatment according to each patient. Optical rehabilitation and botulinum
applications are especially indicated.
Retour à la
bibliographie de Juillet 2009
(Dernière mise à jour de cette page le 27/08/10)