Esotropia and pseudoexotropia in acute ROP sequelae: clinical features and suggestions for treatment.

Abstract:

:We report five cases with a mixture of esotropia and pseudoexotropia due to macular ectopia related cicatricial retinopathy of prematurity (ROP). On inspection, the patients, aged from 9 to 28 years, presented a divergence of the eyes and a nasally decentralised corneal light reflex. The cover test showed esodeviation. All the cases presented some clinical features common to congenital strabismus. Fundus examination showed temporal traction of vascular and retinal tissues and macular ectopia, referrable to cicatricial sequelae of spontaneously regressed severe ROP. Treatment is limited to follow-up, with attention being paid to the control of retinal damage rather than to resolving the esthetic defects. Despite cryotherapy, these conditions are increasing with the increase in severe ROP and are now relatively frequent. We suggest that they be carefully identified in order to avoid incorrect orthoptic or surgical treatment.

journal_name

Eur J Ophthalmol

authors

Bianchi PE,Guagliano R,Salati R,Traselli GP,Trimarchi F

subject

Has Abstract

pub_date

1996-10-01 00:00:00

pages

446-50

issue

4

eissn

1120-6721

issn

1724-6016

journal_volume

6

pub_type

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