Wydanie 4/2003

Zespół zeza wczesnodziecięcego: etiologia, diagnostyka, leczenie

Infantile squint syndrome: ethiology, diagnosis, treatment

Łucja Topolska

Oddział Okulistyczny Wojewódzkiego Szpitala Podkarpackiego w Krośnie Ordynator: dr n. med. Antoni Bąk


Summary: Early onset esotropia is a characteristic strabismic syndrome. Symptoms of this syndrome can persist in adults and help to make a correct diagnosis also by negative anamnesis. The main symptoms are: dissotiated vertical deviation, latent or latent/manifest nystagmus, dissotiated torsional deviation and tilt head. All the children with this syndrome have optokinetic asymmetry. Although most of the children with early squint do not show any neurological deases, over 40 percent of the children with cerebral paralysis present signs of early onset strabismus. This confirms the hypothesis that early strabismus syndrome is a result of disturbance of central coordination. Early onset of this strabismus has negative influence on the evolution of right binocular vision. Patients with wide angle infantile esotropia are in need of surgical procedure, initially bilateral rectus recession. In some cases further surgery is required.

Keywords: early onset of strabismus, strabismus and cerebral paralysis, optokinetic asymmetry, management of infantile squint syndrome.


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