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Incomitant strabismus

MedGen UID:
1369357
•Concept ID:
C4476577
•
Disease or Syndrome
HPO: HP:0025068

Definition

Strabismus in which the angle of deviation differs depending upon the direction of gaze or according to which eye is fixing, associated with [from HPO]

Professional guidelines

PubMed

Orthoptic management of incomitant strabismus.
Whitecross S
Int Ophthalmol Clin 2014 Summer;54(3):83-8. doi: 10.1097/IIO.0000000000000029. PMID: 24879106
Management of diplopia limited to down gaze.
Kushner BJ
Arch Ophthalmol 1995 Nov;113(11):1426-30. doi: 10.1001/archopht.1995.01100110086030. PMID: 7487605
Restrictions in the diagnoses and management of strabismus problems.
Metz HS
J Pediatr Ophthalmol Strabismus 1979 Mar-Apr;16(2):108-12. doi: 10.3928/0191-3913-19790301-06. PMID: 458515

Recent clinical studies

Etiology

Strabismus Surgery in Orthophoric Patients With Symptomatic, Asymmetric Vertical or Horizontal Incomitance.
Phanphruk W, Hennein L, Hunter DG
Am J Ophthalmol 2023 May;249:29-38. Epub 2022 Dec 27 doi: 10.1016/j.ajo.2022.12.019. PMID: 36581192
Acute comitant strabismus in anti-GQ1b antibody syndrome.
Lee SU, Baek SH, Kim HJ, Choi JY, Kim BJ, Kim JS
J Neurol 2023 Jan;270(1):486-492. Epub 2022 Sep 29 doi: 10.1007/s00415-022-11394-3. PMID: 36175671
Special features of superior oblique hypofunction due to tendon abnormalities.
Aleassa M, Le A, Demer JL
Strabismus 2021 Dec;29(4):243-251. Epub 2021 Nov 17 doi: 10.1080/09273972.2021.1987931. PMID: 34787034Free PMC Article
The Role of Extraocular Muscle Pulleys in Incomitant Non-Paralytic Strabismus.
Clark RA
Middle East Afr J Ophthalmol 2015 Jul-Sep;22(3):279-85. doi: 10.4103/0974-9233.159698. PMID: 26180464Free PMC Article
The Lancaster red-green test before and after occlusion in the evaluation of incomitant strabismus.
Hwang JM, Guyton DL
J AAPOS 1999 Jun;3(3):151-6. doi: 10.1016/s1091-8531(99)70060-1. PMID: 10428588

Diagnosis

Strabismus Surgery in Orthophoric Patients With Symptomatic, Asymmetric Vertical or Horizontal Incomitance.
Phanphruk W, Hennein L, Hunter DG
Am J Ophthalmol 2023 May;249:29-38. Epub 2022 Dec 27 doi: 10.1016/j.ajo.2022.12.019. PMID: 36581192
Acute comitant strabismus in anti-GQ1b antibody syndrome.
Lee SU, Baek SH, Kim HJ, Choi JY, Kim BJ, Kim JS
J Neurol 2023 Jan;270(1):486-492. Epub 2022 Sep 29 doi: 10.1007/s00415-022-11394-3. PMID: 36175671
Orbital Causes of Incomitant Strabismus.
Lueder GT
Middle East Afr J Ophthalmol 2015 Jul-Sep;22(3):286-91. doi: 10.4103/0974-9233.159714. PMID: 26180465Free PMC Article
The Role of Extraocular Muscle Pulleys in Incomitant Non-Paralytic Strabismus.
Clark RA
Middle East Afr J Ophthalmol 2015 Jul-Sep;22(3):279-85. doi: 10.4103/0974-9233.159698. PMID: 26180464Free PMC Article
Orthoptic management of incomitant strabismus.
Whitecross S
Int Ophthalmol Clin 2014 Summer;54(3):83-8. doi: 10.1097/IIO.0000000000000029. PMID: 24879106

Therapy

Surgical management of strabismus following choroidal melanoma plaque brachytherapy.
Alfreihi SH, Pineles SL, McCannel TA, Prada AM, Velez FG
J AAPOS 2017 Aug;21(4):286-290.e2. Epub 2017 Jul 18 doi: 10.1016/j.jaapos.2017.05.030. PMID: 28728906
Surgical treatment of strabismus secondary to glaucoma drainage device.
Roizen A, Ela-Dalman N, Velez FG, Coleman AL, Rosenbaum AL
Arch Ophthalmol 2008 Apr;126(4):480-6. doi: 10.1001/archopht.126.4.480. PMID: 18413516
Scleral MIRAgel causing bony orbital erosion.
Figueira EC, Francis IC, Wilcsek GA
Orbit 2007 Mar;26(1):65-9. doi: 10.1080/01676830600675335. PMID: 17510877
Simulated torsional disparity disrupts horizontal fusion and stereopsis.
Georgievski Z, Sleep M, Koklanis K
J AAPOS 2007 Apr;11(2):120-4. doi: 10.1016/j.jaapos.2006.09.022. PMID: 17416321
The puzzle of autism: an ophthalmologic contribution.
Miller MT, Strömland K, Gillberg C, Johansson M, Nilsson EW
Trans Am Ophthalmol Soc 1998;96:369-85; discussion 385-7. PMID: 10360298Free PMC Article

Prognosis

Rectus Pulley Displacements without Abnormal Oblique Contractility Explain Strabismus in Superior Oblique Palsy.
Suh SY, Le A, Clark RA, Demer JL
Ophthalmology 2016 Jun;123(6):1222-31. Epub 2016 Mar 13 doi: 10.1016/j.ophtha.2016.02.016. PMID: 26983977Free PMC Article
Surgical management of upgaze diplopia in patients after posttraumatic orbital floor reconstruction.
Loba P, Kozakiewicz M, Broniarczyk-Loba A
J Craniomaxillofac Surg 2015 Jul;43(6):976-80. Epub 2015 Apr 8 doi: 10.1016/j.jcms.2015.03.034. PMID: 25958097
The orbital pulley system: a revolution in concepts of orbital anatomy.
Demer JL
Ann N Y Acad Sci 2002 Apr;956:17-32. doi: 10.1111/j.1749-6632.2002.tb02805.x. PMID: 11960790
Restoration of fusion in children with intracranial tumors and incomitant strabismus.
Shalev B, Repka MX
Ophthalmology 2000 Oct;107(10):1880-3. doi: 10.1016/s0161-6420(00)00345-6. PMID: 11013192
Combined resection and recession of a single rectus muscle for the treatment of incomitant strabismus.
Bock CJ Jr, Buckley EG, Freedman SF
J AAPOS 1999 Oct;3(5):263-8. doi: 10.1016/s1091-8531(99)70020-0. PMID: 10532569

Clinical prediction guides

Strabismus Surgery in Orthophoric Patients With Symptomatic, Asymmetric Vertical or Horizontal Incomitance.
Phanphruk W, Hennein L, Hunter DG
Am J Ophthalmol 2023 May;249:29-38. Epub 2022 Dec 27 doi: 10.1016/j.ajo.2022.12.019. PMID: 36581192
The Role of Extraocular Muscle Pulleys in Incomitant Non-Paralytic Strabismus.
Clark RA
Middle East Afr J Ophthalmol 2015 Jul-Sep;22(3):279-85. doi: 10.4103/0974-9233.159698. PMID: 26180464Free PMC Article
Review: oculomotor cranial nerve palsies: symptoms, problems and non-surgical preoperative management of the resultant complex incomitant strabismus and monocular and binocular vision disturbances.
Khawam E, Fahed D
Binocul Vis Strabolog Q Simms Romano 2012;27(1):23-34. PMID: 22404089
Incomitant strabismus: does extraocular muscle form denote function?
Kushner BJ
Am Orthopt J 2011;61:88-102. doi: 10.3368/aoj.61.1.88. PMID: 21856877
Incomitant strabismus: does extraocular muscle form denote function?
Kushner BJ
Arch Ophthalmol 2010 Dec;128(12):1604-9. doi: 10.1001/archophthalmol.2010.301. PMID: 21149788

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