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Objectives: This study aims to evaluate the effects of acquired esotropia on vestibulo-ocular reflex (VOR) gain in children using video (vHIT) and functional head impulse (fHIT) tests.
Methods: A total of 62 children aged 6-18 years, with acquired esotropia and normal vision, were evaluated in the study. The patients were divided into two sub-groups: accommodative and non-accommodative. VOR gains were analyzed by performing lateral canal vHIT and fHIT with monocular and binocular recordings by a single examiner.
Results: Seventeen (10 male, 7 female) children with accommodative esotropia, 24 (14 male, 10 female) children with non-accommodative esotropia, and 21 (8 male and 12 female) healthy controls were included in this study. The vHIT findings did not differ between the groups (p˃.05). In the non-accommodative esotropia group, the location of the camera in both binocular and monocular vHIT recordings made a significant difference in the left VOR gain (p = .025, z = -2.243, p = .032, and z = -2.143, respectively), but no difference was observed in the right VOR gain. In the accommodative esotropia group, while the camera was on the left there was a significant difference in the right VOR gain between binocular and monocular recordings (p = .016, z = -2.413) but no difference was observed in the left VOR gain. No overt or covert saccade was detected in any group.
Conclusions: The statistical differences found in vHIT and fHIT in acquired esotropia patients are thought to be sporadic and based on the results of this study no correction or change in recording technique is required for vHIT or fHIT in children with acquired esotropia.
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http://dx.doi.org/10.1016/j.ijporl.2022.111170 | DOI Listing |
Children (Basel)
November 2024
Association Internationale pour l'Enfance et la Réhabilitation Visuelle, 75016 Paris, France.
Introduction: Evidence is consistent with increased screen viewing time among children and adolescents, and anticipation at the age at which children interact with media devices. Incorrect use of technology, as well as overuse, may lead to serious consequences. This study aims to revise scientific international literature and to describe the potential eye risks correlated to screen viewing time in the pediatric age.
View Article and Find Full Text PDFGraefes Arch Clin Exp Ophthalmol
November 2024
Department of Clinical Ophthalmology, University College London (UCL), London, United Kingdom.
Int Med Case Rep J
November 2024
Department of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto, 602-8566, Japan.
Purpose: To describe the history, clinical presentation, investigation, and management of a case of insidious myopic comitant esotropia (IMCE).
Methods: Demonstration of a rare case report of IMCE, including history of onset, angle of deviation, refractive error, and treatment.
Results: We report a case of a 15-year-old patient presenting with progressive horizontal diplopia first at distance and eventually at near for 2 years.
J AAPOS
December 2024
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangzhou, China. Electronic address:
Purpose: To compare the outcomes of augmented-dose surgery for acute acquired comitant esotropia (AACE) based on either the single Maddox rod test (SMRT), or the prism and alternate cover test (PACT), in cases where there is a clinically significant difference in the deviation using the two tests.
Methods: The medical records of AACE patients who underwent augmented-dose surgery with a difference of ≥5 in preoperative deviations on PACT and SMRT were reviewed retrospectively. Augmented-dose surgery was based on the SMRT or PACT.
Jpn J Ophthalmol
November 2024
Department of Ophthalmology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama City, Okayama, 700-8558, Japan.
Purpose: To investigate the relationships among eye dimensions in magnetic resonance imaging (MRI) scans by sex, age, and strabismus type in Japanese patients with acquired strabismus and high myopia.
Study Design: Retrospective clinical case series.
Methods: We included 58 eyes of 29 patients with acquired strabismus and high myopia (mean age ± standard deviation: 60.
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