“Estrabismo convergente, divergente y vertical” by Doktor TV was liked by 0 people. We know this might sound crazy, but if you like this video too, maybe you . English Spanish online dictionary Term Bank, translate words and terms with different pronunciation options. En las diparesias espásticas infantiles, que son el tipo más frecuente de PCI, el estrabismo alternante convergente es la regla. A causa de la pérdida de.

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Strabismus is the loss of ocular alignment. This occurs when one of the eyes has deviated and lost coordination with the other.

The point of gaze is no longer the same when looking at an object, and the eyes are not aligned anymore. The condition occurs in both children and adults. It may lead to double vision diplopiaconfused vision and a loss of binocular vision, losing depth perception. Signs may include an abnormal head position torticollis or winking one eye to avoid double vision diplopia. If strabismus is not diagnosed and treated at an early age, it may lead to sensory alterations such as suppression of the unaligned eye, causing amblyopia or lazy eye.

In other words, there is no known cause. This is the most frequent situation. When a child attempts to accommodate in order to compensate for long sightedness, generally inwards esotropia.

The difference in the refraction defect between both eyes leads to the development of strabismus.

American Association for Pediatric Ophthalmology and Strabismus

The visual deficit in some types of amblyopia may lead to a lazy eye becoming misaligned over time. Systemic or neurological muscular paralysis: Paralysis in an extra-ocular muscle due to a neurological condition or systemic diseases that affect muscle innervation may lead to strabismus. Another way of classifying strabismus is according to its frequency, in which case we would have constant strabismus or intermittent strabismus.

There are other specific types of strabismus, such as Duane syndromeBrown syndromeocular-motor paralysisnystagmus or fibrosis of the inferior rectus muscle. This test objectively determines the presence and amount of ocular deviation. It is used to determine and measure the presence of evident strabismus or tropia, latent strabismus or phoria.

It consists of two parts:. This instrument is used to evaluate and diagnose strabismus. It is also used congergente visual training and convergsnte stimulate lazy eyes amblyopia. The synoptophore can be used to measure other aspects of vision such as the level of binocular fusion.

The Hess Lancaster test H-L is a subjective-objective motor evaluation test that examines the extra-ocular muscle function; with one eye being fixated while the other is evaluated.

It can help to differentiate paretic strabismus caused by a neurological injury from a motor restriction. We are then able to achieve objective measurements to study strabismus: This makes testing much easier, and opens up the possibility of examining children who are unable to sit still for an examination with a chin rest.


Gazelab video-oculography allows objective measurements estrabosmo be made, to study strabismus.

Exotropía — AAPOS

Convergent strabismus can be corrected with glasses or contact lenses. Convergent strabismus and hypermetropia can only be optically corrected glasses or contact lenses. In all other cases, surgery may be required in addition to optical correction. The surgery is simple, but will require a general anaesthesia in the case of children. If divergent strabismus occurs from birth, we first request a neurological examination, as this type of strabismus may be accompanied by a prior pathology.

Surgery is the most frequent treatment of cases with minor misalignment. In low-grade deviations or small angles of misalignments, surgery is the most appropriate treatment option, together with glasses, prisms or visual therapy. Accommodative strabismus can only be corrected with glasses or contact lenses. The refractive error causing strabismus may be corrected with refractive surgery, eliminating the strabismus in passing, without the need for surgery.

If the strabismus has been constant since birth, you should make an appointment as soon as possible; if the misalignment is intermittent, you can visit us from months. Early diagnosis of this pathology may avoid learning difficulties and above all, could prevent amblyopia or a lazy eyeas strabismus is the main cause of these conditions.

If strabismus appears in adulthood, then neuro-ophthalmological causes must be ruled out.

Meaning of “estrabismo” in the Spanish dictionary

In many cases, strabismus is combined ocnvergente refractive problems such as hypermetropia. We know that when this occurs early in life, it may lead to convergent strabismus. When hypermetropia is corrected with glasses or lenses, the strabismus partially or even totally disappears. In children, hypermetropia may subside over time or disappear on its own, taking the strabismus with it. Strabismus surgery is performed on the muscles that move the eyes.

The surgical procedure is an operation on the extraocular muscles in edtrabismo of ocular motility. Depending on the type and intensity of the deviation, one eye or both are operated. The surgery consists in weakening the most active muscle or muscles, together with strengthening the weakest muscles, if necessary. Strabismus surgery is usually carried out as an outpatient procedure, causing mild or moderate irritation that is alleviated with common painkillers.

Children will require a general anaesthesia.

Patients slant or turn their head in an attempt to minimise the vision problems caused by the original eye condition.

The usual causes of ocular torticollis are eyelid ptosisocular paralysisnystagmus and, more frequently, some vertical types of strabismus. Nystagmus or the clinical term opto-kinetic nystagmus is when an involuntary natural and physiological movement of both eyes occurs when attempting to focus your gaze on a stimulus. In the majority of cases, there is no definite origin and it is present from birth. When nystagmus is acquired or pathological, it is usually accompanied by a visual acuity deficit and in many cases torticollis wry necktowards the point of gaze where the nystagmus is reduced or disappears, known as the block position.


The objective of treating nystagmus is to improve visual comfort, improve visual acuity and minimise torticollis. It is normally treated with glasses, but it may sometimes require surgery. Generally, the characteristics of nystagmus surgery are similar to those of and strabismus surgery. Sometimes there may convergejte to be eshrabismo strabismus where one does not actually exist.

This is known as a false strabismus pseudostrabismus.

The two most frequent causes of a false strabismus are: Hypertelorism is an exaggerated distance between the eyes, which may give the appearance of an outward strabismus. In the case of the epicanthal fold, one of the eyes may appear to be misaligned because of the nasal fold in some children vertical, bilateral cutaneous folds extending from the upper or lower eyelids to the inner edgewith an increased perception of misalignment if the said folds are asymmetrical.

The epicanthal fold disappears as the child grows and does not require surgery or treatment.

Strabismus is normally classified by the direction of the misalignment. This might be a divergent strabismus, where one of the eyes deviates outwards, also known as exotropia. In contrast, convergent strabismus occurs when one of the eyes deviates inwards, also known as esotropia.

When one of the eyes deviates up or down hypertropia or hypotropia. This is also known as cyclotropia. Combinations of the above. Convergent strabismus of the left eye. Divergent strabismus of the right eye. Diagnostic techniques Cover test This test objectively determines the presence and amount of ocular deviation.

It consists of two parts: The cover-uncover testin which one eye is continuously covered and uncovered and the movements of both eyes are observed to measure tropia. The alternating cover testin which the eye that is covered is alternated and the movements of the eyes are observed when the other is covered and uncovered to measure tropia and evaluate phoria.

Technological instruments Synoptophore This dstrabismo is used to evaluate and diagnose strabismus. Hess Lancaster Screen Test The Hess Lancaster convergdnte H-L is a subjective-objective motor evaluation test that examines the extra-ocular muscle function; with one eye being fixated while the other is evaluated. The cover test measures ocular misalignment. The synoptophore allows us to evaluate and convrgente strabismus.

Treatment in childhood Treatment in adults. A child with divergent strabismus, before and after surgery. Adult with divergent strabismus before and after surgery. If I have strabismus, when should I visit an ophthalmologist? Do all types of strabismus require surgery?

What does strabismus surgery consist of? Can torticollis, or wry neck, be caused by an ocular pathology? What is a false strabismus?