Simplifying Strabismus by Saurabh Jain

Author:Saurabh Jain
Language: eng
Format: epub
ISBN: 9783030248468
Publisher: Springer International Publishing

7.2 Clinical Presentation

Acute paralytic strabismus is usually striking in presentation with new onset diplopia and is often easy to diagnose due to the typical history, classic motility findings and associated incomitance. Long standing paralytic strabismus however may pose more of a challenge as over time sequelae of muscle palsy develop that may make the clinical picture unclear.

When a muscle is paralysed, the following changes tend to occur in sequence, leading to a “spread of comitance”. These includeUnderaction of the paretic or paralytic muscle

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