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Antipodean squint

S Shippman, J S Hermann

    Journal of Pediatric Ophthalmology and Strabismus
    |July 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Antipodean squint, a rare condition where eyes alternate between outward (exotropic) and inward (esotropic) turning, is reported in three cases with unknown causes. Experts could not identify etiology factors in these unique strabismus presentations.

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    Area of Science:

    • Ophthalmology
    • Neuroscience
    • Pediatric Ophthalmology

    Background:

    • Strabismus, or eye misalignment, can manifest in various forms, including alternating deviations.
    • Exotropia (outward turning) and esotropia (inward turning) are common types of strabismus.
    • Antipodean squint, characterized by alternating fixation between exotropic and esotropic positions, is exceptionally rare.

    Observation:

    • This report details three pediatric cases exhibiting antipodean squint.
    • No identifiable etiological factors such as anisometropia, unequal accommodation, muscle paresis/restriction, or prior ocular surgery were found.
    • An extensive survey of strabismus specialists failed to uncover similar idiopathic cases.

    Findings:

    • The three presented cases represent a unique subset of strabismus with an undetermined etiology.

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  • The rarity of antipodean squint is highlighted, particularly when no underlying cause is apparent.
  • The study underscores the limitations in current understanding of certain complex strabismus presentations.

    • Implications:

    • Further research is needed to elucidate the potential underlying mechanisms of idiopathic antipodean squint.
    • These cases may prompt a re-evaluation of diagnostic criteria and etiological considerations in complex strabismus.
    • Understanding such rare conditions can improve diagnostic accuracy and inform future treatment strategies for strabismus.