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Strabismus-associated myopia. Review.
P Hernández Martínez1, J M Rodríguez Del Valle1
1Servicio de Oftalmología, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, España.
Archivos De La Sociedad Espanola De Oftalmologia
|July 27, 2017
Summary
Treating strabismus in myopic patients requires careful diagnosis and surgical planning. Anatomical considerations in the myopic eye improve surgical outcomes for conditions like strabismus fixus.
Area of Science:
- Ophthalmology
- Strabismology
Background:
- Strabismus associated with myopia presents unique challenges in diagnosis and treatment.
- Specific types of strabismus, such as strabismus fixus, occur exclusively in myopic individuals and necessitate specialized surgical approaches.
Purpose of the Study:
- To review the diagnosis and treatment of strabismus in the context of myopia.
- To highlight the importance of adjusting treatment strategies based on refractive error and ocular anatomy.
Main Methods:
- A review of existing literature on strabismus associated with myopia.
- Discussion of differential diagnoses and specific treatment considerations.
Main Results:
- Spectacle-induced prismatic effects can alter strabismus measurements.
- Surgical outcomes are improved when myopia's anatomical characteristics are considered.
- Anatomical replacement techniques show superior results compared to traditional methods.
Conclusions:
- Accurate angle of deviation measurement and pre-operative imaging are crucial for effective strabismus treatment in myopic patients.
- Incorporating the anatomical peculiarities of the myopic eye into surgical planning enhances treatment success.

