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[Treatment of dissociated vertical deviation by shifting fixating eye]
Yi-ying Yue1, Kan-xing Zhao, Hui-zhi Ma
1Tianjin Medical University, Tianjin Eye Hospital, Tianjin 300020, China. yyiying@eyou.com
[Zhonghua Yan Ke Za Zhi] Chinese Journal of Ophthalmology
|February 11, 2004
Summary
Shifting fixation eye therapy effectively manages dissociated vertical deviation (DVD) in children. This non-surgical approach improves vision and alignment, offering a viable alternative for those who cannot undergo surgery.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Strabismus Management
Context:
- Dissociated vertical deviation (DVD) is a common strabismus condition in children.
- Monocular or asymmetrical binocular DVD presents unique management challenges.
- Previous treatments for DVD have limitations, particularly for non-surgical candidates.
Purpose:
- To evaluate the efficacy of the shifting fixation eye technique for managing monocular or asymmetrical binocular DVD.
- To assess changes in visual acuity, ocular alignment, and retinal correspondence after treatment.
- To determine the suitability of this method for pediatric patients with amblyopia and ametropia.
Summary:
- Twenty-three children with DVD underwent treatment using the shifting fixation eye method.
- Vision was adjusted using occlusion or optical means to encourage fixation with the fellow eye.
- Post-treatment evaluations included vision, alignment, and retinal correspondence assessments.
Impact:
- The shifting fixation eye technique demonstrated positive cosmetic outcomes in 19 patients.
- Improvements in visual acuity were observed in the non-amblyopic eye.
- This method offers an effective non-surgical option for specific pediatric DVD cases, especially those with unilateral or asymmetrical presentations.