Presentation on theme: "Vertical & horizontal strabismus of uncertain cause OMC Fumitaka Nonaka."— Presentation transcript:
Vertical & horizontal strabismus of uncertain cause OMC Fumitaka Nonaka
Case 1 14yo Female RE drifting upwards intermittently for some years, no diplopia CT: D+N XT with RH RE poorly reacting to direct light Other examinations: unremarkable POH, PMH: nil CT brain & orbit: normal (not viewed) TFT: normal
Pre-opPost-op BSV + Knapp’s surgical procedure Treatment Dr Kushner reported the efficacy of “Knapp’s surgical procedure” Simultaneous transposition of SR toward the insertion of MR LR toward the insertion of IR + Tenotomy of SO tendon All 5 patients were free from diplopia in primary position (follow up ranged from 3 to 10 years after surgery) Surgical Treatment of Paralysis of the Inferior Division of the Oculomotor Nerve. J Kushner, Arch Ophthalmol. 1999;117:485-489
Two cases of congenital inferior division oculomotor palsy were presented. This is an important diagnosis to make. It has a very specific & usually successful treatment.