JBO - Volume 18 - Issue 6 - Optometric Vision Therapy in the Management of Consecutive Intermittent Exotropia with Dissociated Vertical Deviation and Anomalous Correspondence - A Case Study

Journal: 
Author: 
Chorn, B.
Steiner, A.
Title: 
Optometric Vision Therapy in the Management of Consecutive Intermittent Exotropia with Dissociated Vertical Deviation and Anomalous Correspondence - A Case Study
Abstract: 

Consecutive exotropia refers to a manifest exodeviation following surgery to correct esotropia. Surgery is common for early onset esotropia, particularly congenital/infantile esotropia. Congenital/infantile esotropia is usually accompanied by several ocular phenomena, including: latent nystagmus, dissociated vertical deviation (DVD) and overaction of the extraocular muscles, especially the inferior obliques. Additionally, since there is a disturbance in normal binocular vision, anomalous correspondence (AC) is often present. Despite this poor or limited binocularity, interventions to increase fusional ability are possible and should be considered.

JBO - Volume 16 - Issue 5 - Reduction of Anisometriopia & Amblyopia in a Non-Fixating Eye Following Esotropia Surgery & Vision Therapy

Journal: 
Author: 
FitzGerald, D.E.
Yang, J.C.
Gruning, C.F.
Title: 
Reduction of Anisometriopia & Amblyopia in a Non-Fixating Eye Following Esotropia Surgery & Vision Therapy
Abstract: 

This is the case of a 28-month-old child who presented to us with anisometropia, amblyopia and a partially accommodative esotropia. The latter condition was subsequently surgically altered, resulting in a consecutive exotropia. The patient's anisometropia decreased following a regimen of full spectacle correction, occlusion (direct patching) and vision therapy. The reduction of anisometropia coincided with the improvement of binocularity and visual acuity. A discussion of the relationship among the development of anisometropia, amblyopia, esotropia and consecutive exotropia is presented.