Zez zbieżny do dali. Diagnostyka różnicowa i metody postępowania.
Authors: Aleksandra Budelewska, Piotr Loba.

Distance Esotropia. Differential Diagnosis and Methods of Management.

Wydanie 1/2021
str. 34 – 36

Autorzy: Aleksandra Budelewska1, Piotr Loba1,2

  1. Centrum Mikrochirurgii Oka Laser w Warszawie
  2. Zakład Patofizjologii Widzenia Obuocznego i Leczenia Zeza I Katedry Chorób Oczu Uniwersytetu Medycznego w Łodzi
    Kierownik: dr hab. n. med., prof. UMED Piotr Loba


Primary divergence insufficiency is a generally benign condition affecting the elderly. Many patients have spontaneous resolution of the double vision withinfew months, so it is advisable to postpone strabismus surgery and follow the patient. It is also important to perform a differential diagnosis in order to rule out other causes ofdistance esotropia. For this purpose, a thorough history and careful ophthalmologic/strabologic examination should be performed. Clinical neurological evaluation is an effective tool to distinguish between patients with primary and secondary forms of divergence insufficiency. When making the diagnosis, special attention should be paid to the presence of nystagmus and the role of neuroimaging studies.