Strabismus in the context of "Cerebral palsy"

Play Trivia Questions online!

or

Skip to study material about Strabismus in the context of "Cerebral palsy"




⭐ Core Definition: Strabismus

Strabismus is an eye disorder in which the eyes do not properly align with each other when looking at an object. The eye that is pointed at an object can alternate. The condition may be present occasionally or constantly. If present during a large part of childhood, it may result in amblyopia ("lazy eyes") and loss of depth perception. If onset is during adulthood, it is more likely to result in double vision.

Strabismus can occur out of muscle dysfunction (e.g., myasthenia gravis), farsightedness, problems in the brain, trauma, or infections. Risk factors include premature birth, cerebral palsy, and a family history of the condition. Types include esotropia, where the eyes are crossed ("cross eyed"); exotropia, where the eyes diverge ("lazy eyed" or "wall eyed"); and hypertropia or hypotropia, where they are vertically misaligned. They can also be classified by whether the problem is present in all directions a person looks (comitant) or varies by direction (incomitant). Another condition that produces similar symptoms is a cranial nerve disease. Diagnosis may be made by observing the light reflecting from the person's eyes and finding that it is not centered on the pupil. This is known as the Hirschberg reflex test.

↓ Menu

In this Dossier

Strabismus in the context of Far-sightedness

Far-sightedness, also known as long-sightedness, hypermetropia, and hyperopia, is a condition of the eye where distant objects are seen clearly but near objects appear blurred. This blur is due to incoming light being focused behind, instead of on, the retina due to insufficient accommodation by the lens. Minor hypermetropia in young patients is usually corrected by their accommodation, without any defects in vision. But, due to this accommodative effort for distant vision, people may complain of eye strain during prolonged reading. If the hypermetropia is high, there will be defective vision for both distance and near. People may also experience accommodative dysfunction, binocular dysfunction, amblyopia, and strabismus. Newborns are almost invariably hypermetropic, but it gradually decreases as the newborn gets older.

There are many causes for this condition. It may occur when the axial length of eyeball is too short or if the lens or cornea is flatter than normal. Changes in refractive index of lens, alterations in position of the lens or absence of lens are the other main causes. Risk factors include a family history of the condition, diabetes, certain medications, and tumors around the eye. It is a type of refractive error. Diagnosis is based on an eye exam.

↑ Return to Menu

Strabismus in the context of Monocular

A monocular is a compact refracting telescope used to magnify images of distant objects, typically using an optical prism to ensure an erect image, instead of using relay lenses like most telescopic sights. The volume and weight of a monocular are typically less than half of a pair of binoculars with similar optical properties, making it more portable and also less expensive. This is because binoculars are essentially a pair of monoculars packed together — one for each eye. As a result, monoculars only produce two-dimensional images, while binoculars can use two parallaxed images (each for one eye) to produce binocular vision, which allows stereopsis and depth perception.

Monoculars are ideally suited to those applications where three-dimensional perception is not needed, or where compactness and low weight are important (e.g. hiking). Monoculars are also sometimes preferred where difficulties occur using both eyes through binoculars due to significant eyesight variation (e.g. strabismus, anisometropia or astigmatism) or unilateral visual impairment (due to amblyopia, cataract or corneal ulceration).

↑ Return to Menu

Strabismus in the context of Amblyopia

Amblyopia, also called lazy eye, is a disorder of sight in which the brain fails to fully process input from one eye and over time favors the other eye. It results in decreased vision in an eye that typically appears normal in other aspects. Amblyopia is the most common cause of decreased vision in a single eye among children and younger adults.

The cause of amblyopia can be any condition that interferes with focusing during early childhood. This can occur from poor alignment of the eyes (strabismic), an eye being irregularly shaped such that focusing is difficult, one eye being more nearsighted or farsighted than the other (refractive), or clouding of the lens of an eye (deprivational). After the underlying cause is addressed, vision is not restored right away, as the mechanism also involves the brain.

↑ Return to Menu

Strabismus in the context of Orthoptist

Orthoptics is a profession allied to the eye care profession. Orthoptists are the experts in diagnosing and treating defects in eye movements and problems with how the eyes work together, called binocular vision. These can be caused by issues with the muscles around the eyes or defects in the nerves enabling the brain to communicate with the eyes. Orthoptists are responsible for the diagnosis and non-surgical management of strabismus (cross-eyed), amblyopia (lazy eye) and eye movement disorders. The word orthoptics comes from the Greek words ὀρθός orthos, "straight" and ὀπτικός optikοs, "relating to sight" and much of the practice of orthoptists concerns disorders of binocular vision and defects of eye movement. Orthoptists are trained professionals who specialize in orthoptic treatment, such as eye patches, eye exercises, prisms or glasses. They commonly work with paediatric patients and also adult patients with neurological conditions such as stroke, brain tumours or multiple sclerosis. With specific training, in some countries orthoptists may be involved in monitoring of some forms of eye disease, such as glaucoma, cataract screening and diabetic retinopathy.

↑ Return to Menu

Strabismus in the context of Portrait of a Young Girl (Christus)

Portrait of a Young Girl is a small oil-on-oak panel painting by the Early Netherlandish painter Petrus Christus. It was completed towards the end of his life, between 1465 and 1470, and is held in the Gemäldegalerie, Berlin. It marks a major stylistic advance in contemporary portraiture; the girl is set in an airy, three-dimensional, realistic setting, and stares out at the viewer with a complicated expression that is reserved, yet intelligent and alert.

It is widely regarded as one of the most exquisite portraits of the Northern Renaissance. Art historian Joel Upton described the sitter as resembling "a polished pearl, almost opalescent, lying on a cushion of black velvet." The panel builds on the work of Jan van Eyck and Rogier van der Weyden, and was highly influential in the decades after its completion. Its appeal lies in part in her intriguing stare, accentuated by the slight misalignment of her eyes, while the eyebrows are faintly skewed.

↑ Return to Menu

Strabismus in the context of Esotropia

Esotropia (aka ET) (from Greek eso 'inward' and trope 'a turning') is a form of strabismus in which one or both eyes turn inward. The condition can be constantly present, or occur intermittently, and can give the affected individual a "cross-eyed" appearance. It is the opposite of exotropia and usually involves more severe axis deviation than esophoria. Esotropia is sometimes erroneously called "lazy eye", which describes the condition of amblyopia; a reduction in vision of one or both eyes that is not the result of any pathology of the eye and cannot be resolved by the use of corrective lenses. Amblyopia can, however, arise as a result of esotropia occurring in childhood: In order to relieve symptoms of diplopia or double vision, the child's brain will ignore or "suppress" the image from the esotropic eye, which when allowed to continue untreated will lead to the development of amblyopia. Treatment options for esotropia include glasses to correct refractive errors (see accommodative esotropia below), the use of prisms, orthoptic exercises, or eye muscle surgery.

↑ Return to Menu