anisometropic strabismus - eos · anisometropia diopteric difference between the 2 eyes more than...

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3/16/2018 1 ن الرحيم الرحم بسمAnisometropic Strabismus By Hisham Khattab M.D. Ophthalmology “Kasr Al-Ainy” Consultant Strabismus Surgeon Professor of Ophthalmology – Faculty of Medicine Military Medical Academy Member of: ISA (International Strabismological Association) WSPOS (World Society of Pediatric Ophthalmology & Strabismus) ESA (European Strabismological Association) EPOS (European Pediatric Ophthalmological Society) EGPES (Egyptian Group of Pediatric Eyes Surgeons)

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3/16/2018

1

بسم هللا الرحمن الرحيم

AnisometropicStrabismus

By

Hisham KhattabM.D. Ophthalmology “Kasr Al-Ainy”

Consultant Strabismus Surgeon

Professor of Ophthalmology – Faculty of Medicine

Military Medical AcademyMember of: ISA (International Strabismological Association)

WSPOS (World Society of Pediatric Ophthalmology & Strabismus)

ESA (European Strabismological Association)

EPOS (European Pediatric Ophthalmological Society)

EGPES (Egyptian Group of Pediatric Eyes Surgeons)

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AnisometropiaDiopteric differenceBetween the 2 eyes

More than -4.00 sphereMore than +2.00 sphereMore than 2.00 cylinder

7y old girl. Lt Eso6/60 Rt:-7.00-1.50/115 6/9 & 2/60 Lt:-15.00-1.00/75 6/36

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6 months with New Glasses

5y old boy. Rt Exo4/60 Rt:-5.00-5.00/100 6/24 & 6/24 Lt:000-4.50/110 6/9

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2 years + Occlusion & GlassesBCVA: Rt:6/9 & Lt:6/6

7y old man. Lt Exo With his glasses6/9 Rt:000+1.50/105 6/6 & 6/60 Lt:+0.50-2.50/25 6/18

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7y old man. 2months + new minus glasses6/9 Rt:000-1.50/165 6/6 & 6/60 Lt:-3.00-2.50/25 6/18

11y old boy4/60 Rt:-10.50-3.00/10 6/12 & 6/36 Lt:-7.00-1.00/165 6/6

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11y old boy (1 month with glasses)

3.5y old girl. Lt ExoRt:-4.00-2.00/165 & Lt:-8.00-2.75/20

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With Glasses1 month 1 year 4 years

3.5y old girl. Rt Acc. EsoRt:+7.00+0.50/140 & Lt:+2.50+0.75/55

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15y old boy. Rt Exo2/60 Rt:-18.00-2.00/15 6/18 & 6/24 Lt:-2.00-1.00/30 6/6

1 month with Contact Lenses

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10y old girl. Lt Exo6/12 Lt:-1.00-2.50/170 6/6 & 1/60 Rt:-16.00-3.00/5 6/36

1 month with Contact Lenses

7y old girl. Lt Exo6/6 Rt:000+0.50/120 6/6 & 5/60 Lt:+4.00+3.00/60 6/36

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6 monthsWith Glasses With Contact Lenses

10y old girl. Rt Exo1/60 Rt:-8.00-3.00/15 3/60 & 6/6 Lt 0

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1 month post Rt Op + CL -8.00

2y old boy. Rt EsoRt:+8.00+2.00/90 Lt:+2.50

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6 months Post Op

6 years Post Op 3/60 Rt:+8.00+1.50/90 & 6/60 & 6/6 Lt:+1.50 6/6

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6y old boy. Lt Eso6/24 Rt:+4.00+3.00/85 6/6 & 2/60 Lt:-8.50-2.50/170 6/12

6months Post Op. + Lt CL -9.00 & Glasses

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4 years Post Op. + Lt CL -10.00Rt:+2.50+3.00/85 6/6 & Lt:+2.00+2.50/170 6/12

4.5y old boy. Rt ExoRt:-5.50 & Lt:+1.50

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2 months with Glasses

1 year Post Bil. LasikRt:-1.00-0.50/130 & Lt:000-1.00/90

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7y old girl. Hist. Rt Eso Surg & Lasik 2y ago4/60 Rt:-0.50-5.50/180 6/24 & 6/12 Lt:000+2.50/90

6 months with Glasses

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6y old boy. Lt Exo Lasik 1y ago6/36 Rt:-1.50-1.00/150 6/6 & 4/60 Lt:-4.00-0.50/40 6/18

With Glasses1 month 1 year 4 years

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6y old boy. Lt Exo Lasik 1 year agoRt:+3.75 & Lt:-5.00-9.00/85

4y old boy. Rt Exo Lasik 1 year agoRt:-9.00-2.00/10 & Lt:-0.50-1.00/170

Pentacam Rt: CT:405um DP:37.2

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2.2y old girl. Hist Bil Lasik & Eso surgeries 6ma.Rt:+0.50+1.25/55 & Lt:-0.50-2.00/15

Before Lasik

21y old man. Rt Exo1/60 Rt:-18.50-4.25/20 3/60 & 6/6 Lt:000-0.50/175 6/6

2 months Post Rt clear lens extraction

Rt Pseudophakic (000-1.25/75 2/60)

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23y old girl. Rt Exo1/60 Rt:-24.50-4.50/120 6/60 & 4/60 Lt:-16.00-1.50/55 6/9

2 months Post Bil. 2ry IOL (Phakic IOL)

Rt:-3.00-2.00/170 4/60 Lt:000-0.75/20 6/12

12y old boy. Lt Exo5/60 Rt:-6.00-1.00/180 6/6 & 2/60 Lt:-11.00-1.00/165 6/12

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Post Bil. Lasik & Exo Op.

3 months Post Bil. Lasik 3 months Post Lt Exo Op.

Many ThanksIs it the left half of the face

Or profile from left side ???

Is it the right half of the face

Or profile from right side ???