What's new AAPOS 2008 - The Private Eye Clinic

egarding how strabismus affected everyday life were grouped into topic areas and the
frequency of each topic analyzed for subjects with and without diplopia.
RESULTS: A total of 1,508 phrases were extracted: 207 (14%) of 1,508 were excluded
because they did not pertain to HRQOL. From the remaining 1,301 phrases, 48 topic
areas were apparent. For patients with diplopia, the most frequently occurring topics
were: nonspecific negative feeling (15/17; 88%) ("really hard"); general disability (15/17;
88%) ("affects everything"); and driving (14/17; 82%). In those without diplopia, the most
frequently mentioned topics were appearance to others (12/13; 92%) ("people notice my
eyes") followed by problems with eye contact (10/13; 77%) and interpersonal
relationships (10/13; 77%). Of the topics that were common to both groups (n = 42), two
of the most frequent were driving and nonspecific negative feeling.
CONCLUSIONS: Multiple individual interviews revealed many topics that negatively
affect quality of life in strabismic adults. The frequency and type of concerns confirm the
importance of HRQOL assessment as an important aspect of strabismus management.
Strabismus in unicoronal synostosis: ispilateral or contralateral?
Macintosh C, Wall S, Leach C.
J Cranofac Surg 2007 May; 18(3):465-9
This is a retrospective case series of 59 patients with confirmed unicoronal synostosis.
Thirty-four (57.6%) were found to have manifest strabismus in primary position. The
most common being esotropia with a vertical component (21/34). In 55.9% this
occurred contralateral to the fused suture and in 26.5% ipsilateral to the fused suture.
Thirty cases showed an apparent IO OA/SO UA and was bilateral in 14 cases,
ipsilateral in 15 cases.
Twenty seven (46%) had a significant refractive error. Of those with anisometropia, the
higher error was in the eye contralateral to the fused suture. Fifteen (62%) had more
astigmatism on the contralateral, nonsynostotic side.
All cases of unicoronal synostosis with a mutation of the FGFR2 or FGFR3 gene had
manifest strabismus.
Statistical analysis proved for this sample, that manifest strabismus was no more likely
to be found on either the contralateral or ipsilateral side to the synostosis.
Superior oblique myokymia: Efficacy of medical treatment.
Williams PE, Purvin VA, Kawasaki A.
J AAPOS 2007; 11: 254-57.
This is a retrospective review of patients with SOM. They identified 27 patients of
which a subset of 20 patients received medical therapy. 80% of these 20 patients had
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