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When we should ask for
ophthalmological examination?
Strange blinking,conjunctivitis, inflamm. of the lids
Alteration in the red reflex (RB, cataracta, toxocara,
refractive error)
Pupil differencies (anisocoria)
Any indirect sign of lowered vision
Strabismus
Difference between the size of the eyes, or the lids
Tearing (DCN, refractive errors, foreign
body,buphthalmus)
dacryocistocele
Gyermekszemészet és Strabismus. A Magyar Gyermekszemészek és Strabológusok Társaságának 2005-ös kiadványa. Felelős szerkesztő: Soproni Anna. Az
eredeti kiadvány címe: Pediatric Ophthalmology and Strabismus. Section 6. Basic and Clinical Science Course of Academy of Ophthalmology, 2002—2003.
dacryocystitis neonatorum
Examination
Visus near-far(different optotypes, pictures)
Objective measurements of the refr. error
Eyemovements
Examination of the binocularity
Examination of the strabismus
From the age of 4 months
Brown syndroma
Congenital abducens paresis
Neil R. Miller et al.: Walsh and Hoyt's clinical neuro-ophthalmology, Lippincott Williams & Wilkins, 2004
Eyemovements
Examination of the binocularity
1. Simultan perception
2. Fusion (Worth test)
3. Stereo vision (Lang test)
Types of strabismus
Ortophoria (no alteration)
Heterophoria (hidden strabismus)
Heterotropia (manifest strabismus)
1. strabismus convergens= esotropia
divergens=exotropia
sursumvergens=hypertropia
deorsumvergens=hypotropia
2. unilateral=monocular ↔ alternal
3. intermittant ↔ constans
4. -concomitant (permanent angle)
-incomitant(the angle depend on gaze)=paralitic strabismus