Infantile esotropia

1year 1month/malay/female (Follow up case)

Date:12/10/2011

History :

-          mother noticed her daughter left eye squinting  1 year ago constantly

-          full term delivery

-          no medical illness or eye disease (check at IIUM specialist)

important test:

VA (LEA grating paddle):    BE; 2cpm (6/18)

Refraction (mohindra):       RE; -0.50DS                 LE; -1.50DS

Hirschberg: 30⁰ to the temporal (LE)) fixing eye is RE

Prism cover test:  ∞; unobtainable         N; 30Δ

                           

                                                                              

 Stereoacuity (frisby) ;unobtainable

Diagnosis: Infantile esotropia

Management: refer to ophthalmologist for eye surgery

(group 1)

Esotropia - nystagmus blockage syndrome

5/M/M came to the IIUM Optometry Clinic for follow up visit.

• Prescription from last visit: 
• RE: -6.00DS/-1.00DCX174      (6/15)
• LE: -6.00DS/-1.00DCX15        (6/15)
• mother complained that his performance is better after wearing the glasses

 

Test	RE	LE
VA with LEA Symbols (aided)	6/15	6/15
Hirschberg	Center and symmetrical
Cover test	Dist: cannot be obtained Near: moderate esotropia with fast recovery
OMT	Nystagmus intensity increase upon abduction
Worth Four Dot	Dist: seen 5 light Near: seen 4 light (2R,2G)
Stereopsis (Frisby)	300”
PCT	Dist: cannot be obtained Near: 25∆ BO

from the examination, we found that he is;

• BE amblyopia
• Nystagmus intensity increase upon abduction
• Nystagmus obvious at distance than near
• Cover test at near reveal esotropia

Diagnosis

• Esotropia nystagmus blockage syndrome

Management

•  Alternate patching at least 2 hours/ day with near task
• wear correction full time

TCA: 3/52 to review VA

By: Group 1

GROUP 3: INFANTILE ESOTROPIA

Exotropia Classification