Esodeviations



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Clinical findings:


  • esotropia on distance fixation 10-20PD (Fig. 11)

  • orthophoria at near (Fig.12)

  • normal ductions and versions

  • sometimes mild bilateral sixth nerve paresis

Investigation:

Differential diagnosis:

Treatment:


  • neurological treatment

  • prismatic glasses

  • very rare bilateral muscle resection

  • orthoptic training

Prognosis:

SPASM OF THE NEAR REFLEX

This condition appear periodically and is characterized by an overconvergence associated with accommodation and miosis.Fig13A and 13B.

Fig.13A The child aged 1,8-year-old with spasm of the near reflex.



Fig.13B Spasm of the near reflex on 7-month-old child.


Clinical findings:


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