Case of the week 56 (
May 2012 ) Huge Alternating Exotropia
Post-operative
28 years old young woman
asking for cosmetic surgery to her huge out
deviation of her eyes
Her parents told that they noticed this deviation
at the age of 4 years , this is her first time
to be examined by an ophthalmologist
VA 6/6 OD 6/6 OS
both eyes are emmetropic
Random dot stereogram showed no stereopsis
This girl has had an exotropia since early
childhood. The angle in the primary position is
large, 50 prism diopters . This may be an
example of an intermittent exotropia progressing
to a constant exotropia over time. Some surgeons
feel strongly about operating earlier on
exodeviations in infants and toddlers to avoid
this.
The surgical treatment is :
1) Large bilateral lateral rectus recession 7.0
to 8.0 mm
2) Resection one medial rectus 7.0 mm .
الموقع المصري للحول
وامراض الجهاز الحركي للعين
The Egyptian Site of
Strabismus & Oculomotor Disorders
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