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Microstrabismus in monozygotic twins.

H Atilla1, N Erkam

  • 1Department of Ophthalmology, Ankara University School of medicine, Ankara, Turkey. satilla@bir.net.tr

Binocular Vision & Strabismus Quarterly
|February 1, 2000
PubMed
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Heredity plays a role in primary microstrabismus, as seen in identical twins with varying symptoms. Early screening for ocular motility disorders is crucial for both twins, even without complaints.

Area of Science:

  • Ophthalmology
  • Genetics
  • Pediatric Ophthalmology

Background:

  • Primary microstrabismus is an ocular motility disorder.
  • The etiology of primary microstrabismus is not fully understood.
  • Hereditary factors are suspected but rarely demonstrated definitively.

Observation:

  • This study examined monozygotic twins diagnosed with primary microstrabismus.
  • Clinical presentations of microstrabismus varied between the twins.
  • No significant family or personal history was noted for either twin.

Findings:

  • Identical twins can exhibit primary microstrabismus with differing clinical manifestations.
  • The condition can arise independently of infantile esotropia or anisometropia.
  • Genetic and environmental factors likely influence sensorimotor development, leading to ocular motility issues.

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Implications:

  • Microstrabismus in twins highlights the complex interplay of genetic and environmental influences.
  • Comprehensive ocular motility assessments are recommended for all twins.
  • Early detection and intervention are vital for managing potential sensorimotor developmental issues in infants.