Treatment of age-related distance esotropia with unilateral lateral rectus resection

Yadav, Sohraab; Young, Jane; Voas-Clarke, Claire; Marsh, Ian; Durnian, J M

doi:10.1016/j.jaapos.2014.06.011

Cited by 5 publications

(4 citation statements)

References 7 publications

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“…There are few articles reporting surgical outcomes in SES 32,33,16,27 . Outcomes of several different surgical approaches have been reported for ARDE: bilateral medial rectus recession 32,16,27 , bilateral lateral rectus resection or plication 16,27 , and unilateral lateral rectus resection 33 . Every study has reported successful outcomes.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Sagging Eye Syndrome in Adults with Binocular Diplopia

Goseki

Suh

Robbins

et al. 2020

American Journal of Ophthalmology

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Purpose: Sagging eye syndrome (SES), horizontal and/or vertical strabismus caused by orbital connective tissue degeneration, was first defined 10 years ago. In this study, we investigated the causes of acquired binocular diplopia in adults presenting to single institution since the description of SES.Design: Retrospective observational case series. Methods:We reviewed medical records of all new patients over age 40 years who presented to the Stein Eye Institute with binocular diplopia between January 2015 and December 2018. We tabulated clinical causes of diplopia in patients grouped by age and gender. In patients with SES, we tabulated binocular alignment, types of treatment, and surgical outcomes.Results: There were 945 patients of mean age 66.5 years, of whom 514 (54.4%) were female. The most common cause of diplopia was SES (31.4%). The 297 patients with SES were older at 71.2 years (p<0.0001) and more predominantly female at 59.9% than other patients (52.0%, p=0.023). The relative proportion of SES patients among all diplopic patients increased with age

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Section: Discussionmentioning

confidence: 99%

Prevalence of Sagging Eye Syndrome in Adults with Binocular Diplopia

Goseki

Suh

Robbins

et al. 2020

American Journal of Ophthalmology

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“…Nonsurgical management includes base-out prism glasses or occlusion. Surgical intervention can be considered in cases of larger angle deviations, or when patients desire independence from glasses [20][21][22].…”

Section: Sagging Eye Syndromementioning

confidence: 99%

Nonneurologic causes of binocular diplopia for the neurologist

Mosleh¹,

Peragallo

2022

Current Opinion in Neurology

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Purpose of reviewTo review several etiologies of nonneurologic diplopia that the neurologist should be familiar with. The pathophysiology, clinical presentation, neuroimaging findings, and treatment options are briefly summarized for each condition. Recent findingsCertain etiologies for diplopia can be associated with life-threatening neurologic conditions and should be investigated thoroughly for proper localization and immediate management of the underlying disease. However, nonneurological causes of binocular diplopia are very common and disabling, but are often nonemergent and may not require in-depth investigation or neuroimaging. Some of the etiologies of nonneurologic diplopia mimic cranial nerve palsies, making them confusing to evaluate when the physician is not familiar with these etiologies. Unfamiliarity with these diagnoses can lead to unnecessary neuroimaging, inefficient utilization of medical resources, and undue alarm to the patient. Recent advances in clinical diagnostic tools and neuroimaging have clarified our understanding of the diverse underlying mechanisms of nonneurologic binocular diplopia. SummaryDiplopia can be a difficult symptom for the neurologist to evaluate. A systematic approach to the evaluation of diplopia can help establish the urgency and necessity of an extensive workup. This review will help to familiarize the neurologist with nonneurological causes of binocular diplopia, minimize expensive and unnecessary evaluations, and reassure patients and physicians alike.

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“…Surgical prognosis for this group of patients is quite favorable and can be addressed using a variety of techniques, including marginal insertional tenotomies, 89 recessions, resections, and plications. 98 Surgical resolution or reduction of diplopia has been particularly beneficial for patients who don't otherwise need glasses for distance vision. 88 As described for patients with divergence insufficiency unrelated to sagging eye syndrome, more than typical recession of the medial rectus muscles is usually needed.…”

Section: P354mentioning

confidence: 99%

Adult Strabismus Preferred Practice Pattern®

Dagi

Velez²,

Archer

et al. 2020

Ophthalmology

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The Adult Strabismus PPP was then sent for review to additional internal and external groups and individuals in August 2019. All those returning comments were required to provide disclosure of relevant relationships with industry to have their comments considered. Members of the Pediatric Ophthalmology/Strabismus Preferred Practice Pattern Panel reviewed and discussed these comments and determined revisions to the document. The following organizations and individuals returned comments.

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Treatment of age-related distance esotropia with unilateral lateral rectus resection

Cited by 5 publications

References 7 publications

Prevalence of Sagging Eye Syndrome in Adults with Binocular Diplopia

Prevalence of Sagging Eye Syndrome in Adults with Binocular Diplopia

Nonneurologic causes of binocular diplopia for the neurologist

Adult Strabismus Preferred Practice Pattern®

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