Nl-Fr

ICC W4 - Paralytic strabismus

Marcel TEN TUSSCHER, Michel VAN LINT
Interactive Clinical Courses
Wednesday 27 November 2013, 16:00 - 17:30, Hall E - ICC
Moderators
Marcel TEN TUSSCHER, Michel VAN LINT

Intermediate

Paralytic strabismusEye movement abnormalities are clinically important symptoms, possibly pointing at a manifestation of dysfunction of cranial nerves III, IV, or VI (the 3 ocular motor nerves). This ICC reviews the anatomical concepts and the clinical presentation. Differentiation between supra-nuclear, nuclear and infra-nuclear disease will be discussed. Oculomotor dysfunction can result from lesions anywhere along its path between the oculomotor nucleus and the extraocular muscles. The differential diagnosis and its management vary with the age of the patient and the presence of associated signs and symptoms.  The therapeutic role of occlusion, prisms, botulinum toxin, surgery and their timing are discussed. Surgical procedures like oblique recession or resection, transposition of the vertical recti, transposition of the lateral rectus, recess/resect procedures of horizontal and vertical muscles will all be explained.
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