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Strabismus - Fundamentals of Clinical Ophthalmology.pdf

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STRABISMUS<br />

<strong>Strabismus</strong> Malalignment <strong>of</strong> the eyes owing to<br />

a breakdown or failure <strong>of</strong> development <strong>of</strong><br />

binocular single vision at a particular test<br />

distance or in a particular direction <strong>of</strong> gaze.<br />

Incomitant strabismus is where the angle <strong>of</strong><br />

misalignment <strong>of</strong> a strabismus, measured at a<br />

particular test distance, varies depending on the<br />

direction <strong>of</strong> gaze. Concomitant strabismus is where<br />

with the accommodation controlled, the angle <strong>of</strong><br />

misalignment <strong>of</strong> the strabismus when examined<br />

at a particular test distance will remain constant<br />

regardless <strong>of</strong> the direction <strong>of</strong> gaze.<br />

Vergence movement A disjunctive movement.<br />

Both eyes move in opposite directions to keep<br />

object <strong>of</strong> regard focused on each fovea<br />

simultaneously.<br />

Vestibular mechanism Where the image <strong>of</strong> the<br />

object <strong>of</strong> regard is held on the retina during brief<br />

head rotation.<br />

Visual fixation With the head stationary, visual<br />

fixation is the act <strong>of</strong> focusing a stationary object<br />

<strong>of</strong> regard upon the fovea.<br />

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