The authors report a case of symptomatic antipodean strabismus caused by a combination of mechanical restriction of eye movement secondary to thyroid eye disease, longstanding intermittent divergence, and convergence weakness, which was alleviated by simultaneous resection of all four horizontal recti muscles.
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http://dx.doi.org/10.3928/01913913-20100818-14 | DOI Listing |
J Pediatr Ophthalmol Strabismus
August 2010
Ophthalmology Department, Milton Keynes Hospital, Milton Keynes, United Kingdom.
The authors report a case of symptomatic antipodean strabismus caused by a combination of mechanical restriction of eye movement secondary to thyroid eye disease, longstanding intermittent divergence, and convergence weakness, which was alleviated by simultaneous resection of all four horizontal recti muscles.
View Article and Find Full Text PDFJ AAPOS
June 2007
Department of Ophthalmology and Visual Sciences, UW Hospital and Clinics, Madison, Wisconsin 53703, USA.
Background: Antipodean strabismus is a rare clinical entity in which a patient manifests an esotropia when fixating with one eye and an exotropia when fixating with the other eye. It has been described in the settings of marked uncorrected anisometropia, dissociated strabismus or combinations of paresis, and mechanical restriction of eye movement.
Methods: A retrospective review of four patients with antipodean strabismus.
Strabismic cases which are exotropic fixing with one eye, and esotropic fixing with the other eye are rare and a result of anisometropia, unequal accommodation, paresis or restriction, and previous ocular muscle surgery. Three cases of antipodean squint are reported without known etiology factor. An extensive survey of experts in the field of strabismus was unable to document other similar cases where a cause could not be determined.
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