SlideShare uma empresa Scribd logo
1 de 61
Paralytic strabismus ,[object Object]
 
this does not aid in the diagnosis of the affected muscle in paretic situation.   ,[object Object],[object Object]
 
 
Terms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hering’s Law of Equal Innervation   ,[object Object],[object Object],[object Object]
Sheringtons Law of Reciprocal Innervation  ,[object Object],[object Object],[object Object]
Sequelae of Ocular Muscle Palsy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Overaction of the contralateral synergist   ,[object Object],[object Object],[object Object],[object Object]
Overaction of the ipsilateral (direct) antagonist   ,[object Object],[object Object],[object Object]
Underaction of the antagonist of the contralateral synergist (contalateral antagonist)   ,[object Object],[object Object]
Overaction of the ipsilateral synergist   ,[object Object]
For example in paralysis of the right superior rectus ,[object Object],[object Object],[object Object],[object Object],[object Object]
ANATOMICAL CONSIDERATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medial Rectus
Lateral Rectus : abduction
Superior Rectus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
In primary position muscle plane  of the SR forms angle  23°with optical axis. In this position SR Elevates the globe. Secondary  Actions intorsion and adduction
 
In 23° abduction, SR complete  Elevator, muscle plane  coincides with optical axis
Superior Oblique ,[object Object],[object Object],[object Object],[object Object],[object Object]
Eye in primary position Muscle plane SO forms  angle 54° with optical  axis. Action is intorsion Secondary actions  abduction and depression RE
When globe adducted 54°, Optical axis and muscle  plane coincide, SO is pure  depressor RE
RE In abduction SO  is primarily an intortor
Inferior Rectus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Inferior Oblique ,[object Object],[object Object],[object Object],[object Object],[object Object]
For right eye read from the top For left eye read from the bottom
Rule for the secondary actions of the vertical muscles ,[object Object]
INCOMITANT STRABISMUS :  CLASSIFICATION AND INVESTIGATION ,[object Object]
Classification ,[object Object],[object Object],[object Object],[object Object],[object Object]
Congenital ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acquired ,[object Object],[object Object],[object Object],[object Object],[object Object]
INVESTIGATION OF INCOMITANCY ,[object Object],[object Object],[object Object],[object Object],[object Object]
History and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General observation of the patient ,[object Object]
Abnormal head posture   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Components ,[object Object],[object Object],[object Object]
Face turn – to the left or right.  ,[object Object],[object Object]
Chin elevation or depression ,[object Object],[object Object],[object Object]
Head tilt : occurs for 2 reasons ,[object Object],[object Object],[object Object]
Head tilt : occurs for 2 reasons ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cover Test with and without AHP
Cover Test: comparison of deviation with each eye fixing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cover Test: comparison of deviation with each eye fixing ,[object Object]
Motility  – check ,[object Object],[object Object],[object Object],[object Object],[object Object]
Motility  – check ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
3 step technique  (more reliable in fairly recent paresis) ,[object Object],[object Object]
3 step technique  (more reliable in fairly recent paresis) ,[object Object],[object Object]
3 step technique  (more reliable in fairly recent paresis) ,[object Object],[object Object]
3 step technique  (more reliable in fairly recent paresis) ,[object Object],[object Object]
3 step technique  (more reliable in fairly recent paresis) ,[object Object],[object Object]
3 step technique  (more reliable in fairly recent paresis) ,[object Object],[object Object],[object Object],[object Object]
Hess Screen Plots ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lateral Rectus ,[object Object],[object Object],[object Object]
Medial rectus ,[object Object],[object Object],[object Object],[object Object]
Superior Rectus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Inferior Rectus ,[object Object],[object Object],[object Object],[object Object],[object Object]
Inferior Oblique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Superior Oblique ,[object Object],[object Object],[object Object],[object Object]

Mais conteúdo relacionado

Mais procurados (20)

Maddox rod
Maddox rodMaddox rod
Maddox rod
 
Test for stereopsis
Test for stereopsisTest for stereopsis
Test for stereopsis
 
Retinal Vein Occlusion
Retinal Vein OcclusionRetinal Vein Occlusion
Retinal Vein Occlusion
 
Orthoptics Introduction test
Orthoptics  Introduction testOrthoptics  Introduction test
Orthoptics Introduction test
 
16 superior oblique palsy
16 superior oblique palsy16 superior oblique palsy
16 superior oblique palsy
 
Convergence insufficiency
Convergence insufficiencyConvergence insufficiency
Convergence insufficiency
 
GONIOSCOPY
GONIOSCOPY GONIOSCOPY
GONIOSCOPY
 
Stereopsis
Stereopsis  Stereopsis
Stereopsis
 
Amblyopia : classification & Occlusion therapy
Amblyopia : classification & Occlusion therapy Amblyopia : classification & Occlusion therapy
Amblyopia : classification & Occlusion therapy
 
Hess chart, diplopia chart, cover tests
Hess chart, diplopia chart, cover testsHess chart, diplopia chart, cover tests
Hess chart, diplopia chart, cover tests
 
Clinical examination of squint
Clinical examination of squintClinical examination of squint
Clinical examination of squint
 
AC/A
AC/AAC/A
AC/A
 
Worth 4 dot test
Worth 4 dot testWorth 4 dot test
Worth 4 dot test
 
Vertex distance
Vertex distanceVertex distance
Vertex distance
 
Slit lamp biomicroscopy
Slit lamp biomicroscopySlit lamp biomicroscopy
Slit lamp biomicroscopy
 
Evaluation of squint
Evaluation of squint Evaluation of squint
Evaluation of squint
 
Aphakia
AphakiaAphakia
Aphakia
 
Log mar chart
Log mar chartLog mar chart
Log mar chart
 
Corneal topography
Corneal topographyCorneal topography
Corneal topography
 
Accommodation and convergence
Accommodation and convergenceAccommodation and convergence
Accommodation and convergence
 

Semelhante a Paralytic strabismus

Physiology of ocular movements.pptx
Physiology of ocular movements.pptxPhysiology of ocular movements.pptx
Physiology of ocular movements.pptxmikaelgirum
 
Action of extraocular muscles and various laws involved
Action of extraocular muscles and various laws involvedAction of extraocular muscles and various laws involved
Action of extraocular muscles and various laws involvedMohammad Arman Bin Aziz
 
squint-150215112527-conversion-gate01.pptx
squint-150215112527-conversion-gate01.pptxsquint-150215112527-conversion-gate01.pptx
squint-150215112527-conversion-gate01.pptxpreethiraja9
 
EXTRA OCULAR MUSCLES PHYSIOLOGY
EXTRA OCULAR MUSCLES PHYSIOLOGYEXTRA OCULAR MUSCLES PHYSIOLOGY
EXTRA OCULAR MUSCLES PHYSIOLOGYRabia Ammer
 
Extraocular muscles
Extraocular muscles Extraocular muscles
Extraocular muscles DineshDhawal
 
ophthalmology.squint.(dr.khald)
ophthalmology.squint.(dr.khald)ophthalmology.squint.(dr.khald)
ophthalmology.squint.(dr.khald)student
 
Extra ocular muscles ppt
Extra ocular muscles pptExtra ocular muscles ppt
Extra ocular muscles pptRajkohila
 
Supranuclearcontrolofgaze 180318184028
Supranuclearcontrolofgaze 180318184028Supranuclearcontrolofgaze 180318184028
Supranuclearcontrolofgaze 180318184028Usha Madineni
 
Supranuclear control of gaze
Supranuclear control of gazeSupranuclear control of gaze
Supranuclear control of gazeDr. Arghya Deb
 
The extraocular muscles and ocular movements
The extraocular muscles and ocular movementsThe extraocular muscles and ocular movements
The extraocular muscles and ocular movementsOPTOM FASLU MUHAMMED
 
Extraocular muscles
Extraocular musclesExtraocular muscles
Extraocular musclesOm Patel
 
Diseases of ocular motility
Diseases of ocular motilityDiseases of ocular motility
Diseases of ocular motilitymeducationdotnet
 
STRABISMUS new-WPS Office.pptx
STRABISMUS new-WPS Office.pptxSTRABISMUS new-WPS Office.pptx
STRABISMUS new-WPS Office.pptxyashabandil155
 

Semelhante a Paralytic strabismus (20)

Physiology of ocular movements.pptx
Physiology of ocular movements.pptxPhysiology of ocular movements.pptx
Physiology of ocular movements.pptx
 
Squint
SquintSquint
Squint
 
Action of extraocular muscles and various laws involved
Action of extraocular muscles and various laws involvedAction of extraocular muscles and various laws involved
Action of extraocular muscles and various laws involved
 
squint-150215112527-conversion-gate01.pptx
squint-150215112527-conversion-gate01.pptxsquint-150215112527-conversion-gate01.pptx
squint-150215112527-conversion-gate01.pptx
 
Motor physiology of the eye
Motor physiology of the eyeMotor physiology of the eye
Motor physiology of the eye
 
EXTRA OCULAR MUSCLES PHYSIOLOGY
EXTRA OCULAR MUSCLES PHYSIOLOGYEXTRA OCULAR MUSCLES PHYSIOLOGY
EXTRA OCULAR MUSCLES PHYSIOLOGY
 
Ophthalmology 5th year, 5th lecture (Dr. Tara)
Ophthalmology 5th year, 5th lecture (Dr. Tara)Ophthalmology 5th year, 5th lecture (Dr. Tara)
Ophthalmology 5th year, 5th lecture (Dr. Tara)
 
Extraocular muscles
Extraocular musclesExtraocular muscles
Extraocular muscles
 
Extraocular muscles
Extraocular muscles Extraocular muscles
Extraocular muscles
 
Strabismus
StrabismusStrabismus
Strabismus
 
ophthalmology.squint.(dr.khald)
ophthalmology.squint.(dr.khald)ophthalmology.squint.(dr.khald)
ophthalmology.squint.(dr.khald)
 
Extra ocular muscles ppt
Extra ocular muscles pptExtra ocular muscles ppt
Extra ocular muscles ppt
 
Supranuclearcontrolofgaze 180318184028
Supranuclearcontrolofgaze 180318184028Supranuclearcontrolofgaze 180318184028
Supranuclearcontrolofgaze 180318184028
 
Supranuclear control of gaze
Supranuclear control of gazeSupranuclear control of gaze
Supranuclear control of gaze
 
Eye movements
Eye movementsEye movements
Eye movements
 
The extraocular muscles and ocular movements
The extraocular muscles and ocular movementsThe extraocular muscles and ocular movements
The extraocular muscles and ocular movements
 
Extraocular muscles
Extraocular musclesExtraocular muscles
Extraocular muscles
 
Diseases of ocular motility
Diseases of ocular motilityDiseases of ocular motility
Diseases of ocular motility
 
Diseases of ocular motility with an emphasis on squint
Diseases of ocular motility with an emphasis on squintDiseases of ocular motility with an emphasis on squint
Diseases of ocular motility with an emphasis on squint
 
STRABISMUS new-WPS Office.pptx
STRABISMUS new-WPS Office.pptxSTRABISMUS new-WPS Office.pptx
STRABISMUS new-WPS Office.pptx
 

Mais de Hossein Mirzaie

Marketing an optometric practice
Marketing an optometric practiceMarketing an optometric practice
Marketing an optometric practiceHossein Mirzaie
 
Mba monograph13 0412_marketinganoptometricpractice
Mba monograph13 0412_marketinganoptometricpracticeMba monograph13 0412_marketinganoptometricpractice
Mba monograph13 0412_marketinganoptometricpracticeHossein Mirzaie
 
Goldman applanation tonometry
 Goldman applanation tonometry Goldman applanation tonometry
Goldman applanation tonometryHossein Mirzaie
 
Optometry, a focus on vision
Optometry, a focus on visionOptometry, a focus on vision
Optometry, a focus on visionHossein Mirzaie
 
Spectacle prescription fulfillment in medical optometry cope approved
Spectacle prescription fulfillment in medical optometry cope approvedSpectacle prescription fulfillment in medical optometry cope approved
Spectacle prescription fulfillment in medical optometry cope approvedHossein Mirzaie
 
Non surgical management of strabismus .ppt
Non surgical management of strabismus .pptNon surgical management of strabismus .ppt
Non surgical management of strabismus .pptHossein Mirzaie
 
Contact Lens-Induced Acute Red Eye(CLARE)
Contact Lens-Induced Acute Red Eye(CLARE)Contact Lens-Induced Acute Red Eye(CLARE)
Contact Lens-Induced Acute Red Eye(CLARE)Hossein Mirzaie
 
Amblyopia treatment dr mirzajani
Amblyopia treatment dr mirzajaniAmblyopia treatment dr mirzajani
Amblyopia treatment dr mirzajaniHossein Mirzaie
 
Peripheral refraction in myopia
Peripheral refraction in myopiaPeripheral refraction in myopia
Peripheral refraction in myopiaHossein Mirzaie
 

Mais de Hossein Mirzaie (20)

Marketing an optometric practice
Marketing an optometric practiceMarketing an optometric practice
Marketing an optometric practice
 
Mba monograph13 0412_marketinganoptometricpractice
Mba monograph13 0412_marketinganoptometricpracticeMba monograph13 0412_marketinganoptometricpractice
Mba monograph13 0412_marketinganoptometricpractice
 
Presbyopia
PresbyopiaPresbyopia
Presbyopia
 
Goldman applanation tonometry
 Goldman applanation tonometry Goldman applanation tonometry
Goldman applanation tonometry
 
Myopia
MyopiaMyopia
Myopia
 
keratometry
 keratometry keratometry
keratometry
 
Funduscopy
Funduscopy Funduscopy
Funduscopy
 
Optometry, a focus on vision
Optometry, a focus on visionOptometry, a focus on vision
Optometry, a focus on vision
 
Astigmatism 2
Astigmatism 2Astigmatism 2
Astigmatism 2
 
Spectacle prescription fulfillment in medical optometry cope approved
Spectacle prescription fulfillment in medical optometry cope approvedSpectacle prescription fulfillment in medical optometry cope approved
Spectacle prescription fulfillment in medical optometry cope approved
 
Non surgical management of strabismus .ppt
Non surgical management of strabismus .pptNon surgical management of strabismus .ppt
Non surgical management of strabismus .ppt
 
Biometry
BiometryBiometry
Biometry
 
Contact Lens-Induced Acute Red Eye(CLARE)
Contact Lens-Induced Acute Red Eye(CLARE)Contact Lens-Induced Acute Red Eye(CLARE)
Contact Lens-Induced Acute Red Eye(CLARE)
 
Primetry
PrimetryPrimetry
Primetry
 
Blepharitis
BlepharitisBlepharitis
Blepharitis
 
Amblyopia treatment dr mirzajani
Amblyopia treatment dr mirzajaniAmblyopia treatment dr mirzajani
Amblyopia treatment dr mirzajani
 
optometric prescription
optometric prescriptionoptometric prescription
optometric prescription
 
Peripheral refraction in myopia
Peripheral refraction in myopiaPeripheral refraction in myopia
Peripheral refraction in myopia
 
Intermittent exotropia
Intermittent exotropiaIntermittent exotropia
Intermittent exotropia
 
Auto perimetry
Auto perimetryAuto perimetry
Auto perimetry
 

Último

Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...narwatsonia7
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowNehru place Escorts
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalorenarwatsonia7
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbaisonalikaur4
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsMedicoseAcademics
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfMedicoseAcademics
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 

Último (20)

Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes Functions
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 

Paralytic strabismus

  • 1.
  • 2.  
  • 3.
  • 4.  
  • 5.  
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 17. Lateral Rectus : abduction
  • 18.
  • 19. In primary position muscle plane of the SR forms angle 23°with optical axis. In this position SR Elevates the globe. Secondary Actions intorsion and adduction
  • 20.  
  • 21. In 23° abduction, SR complete Elevator, muscle plane coincides with optical axis
  • 22.
  • 23. Eye in primary position Muscle plane SO forms angle 54° with optical axis. Action is intorsion Secondary actions abduction and depression RE
  • 24. When globe adducted 54°, Optical axis and muscle plane coincide, SO is pure depressor RE
  • 25. RE In abduction SO is primarily an intortor
  • 26.
  • 27.
  • 28. For right eye read from the top For left eye read from the bottom
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44. Cover Test with and without AHP
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56.
  • 57.
  • 58.
  • 59.
  • 60.
  • 61.

Notas do Editor

  1. The condition in which the patient sees not much and the practitioner nothing at all… ! It is always (or almost always) associated with strab, aniso or form deprivation in early life. Diagnosed when there reduced letter acuity, absence of pathology and when any ametropia is corrected. The results of pyschophysical studies & electrophysiological investigations suggest little primary retinal or LGN abnormality. Instead, the most profound effects of the amblyopic process are found in the striate cortex.