La endotropia es el tipo de estrabismo más frecuente en retraso psicomotor. La variabilidad de la magnitud de desviación es una característica del estrabismo. 7. Wattiez R, Casanova FH, Cunha RN, Mendonça TS. Correção de estrabismo paralítico por injeção de toxina botulínica. Arq Bras Oftalmol. ;63(1) El estrabismo previo a la extracción de la catarata se observó en 12 casos, ocho con endotropía (ET) y cuatro con exotropía (XT). El estrabismo.

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Fallaha N, Lambert SR. Strabismus was present before cataract surgery was performed in 12 cases, 8 with esotropia ET and 4 with exotropia XT.

Estrabismo y cataratas congénitas

In the absence of calcium there is no presynaptic release of acetylcholine; consequently, muscle fibres do not contract. Tang X, Wan X. Esotropia is in-turning of one or both eyes [See figure 1].

Alan Scott 6 reports that alcohol was initially used to produce muscle weakness, while other researchers used various drugs such as neurotoxins and anaesthetics, but with inadequate effects. The strabismus prevalence was Cochrane Database Syst Rev. Los resultados motores fueron mejores que los sensoriales. The average age at the time of application, in the children group, was 1. In eestrabismo study by Cronemberger et al.

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The drug acts on muscle nerve endings by blocking calcium transport. Three esotropic children were submitted to second application.

En un paciente se inyectaron 5u. In young patients there are no muscular mechanisms opposing changes in the original deviation, as described by Campos et al. Cataract surgery and intraocular lens implantation in children. Prematurity, a positive family history, and various neurological and genetic disorders increase the risk of eye misalignment. How to cite this article. Since a statistically-significant difference was found when comparing the three time points concurrently, the Wilcoxon signed-rank test was used to identify which time points differed among themselves pairwise, and significant differences was found in all comparisons.


Chin Med J Engl. Management of esotropia is based on a number of factors.

All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. Am J Ophthalmol ; The strabismus angle was variable in 6 patients and was not treated. Patients were divided into two groups: The effect is also related to the patient’s age.

A second administration of BTA or surgical correction was done after a minimum follow-up period of three months in patients with deviations greater than 10 PD after consulting patients or their guardians. The other 6 cases required strabismus treatment. Ocular alignment may persist or regress, as the effect is temporary; it is therefore necessary to reassess treatment after endotrppia 3,4. The best results occur when there is fusion, providing a more stable alignment 3.

It may be intermittent or constant and may occur with near fixation, distance fixation, estrxbismo both. Int Ophthalmol Clin ; Factors affecting visual outcome after surgery for bilateral congenital cataracts. Observations estrabsimo bilateral simultaneous botulinum toxin injection in infantile esotropia.

American Association for Pediatric Ophthalmology and Strabismus

After taking a careful history, the physician assesses the visual acuity in a manner appropriate for age.


Mean age at the time of administration in group 1 was 1. We used bilateral administration of endotropis.

A family history of strabismus is a very good reason for an evaluation by a pediatric ophthalmologist. Esotropia can also be secondary to other conditions.

Results In group 1, three children underwent a second application of BTA, totalling 18 applications Table 1. Four patients in this group were indicated readministration but only 3 actually received it, and therapeutic success was achieved in 2 of them. Its action is gradual and continuous, starting after approximately three days 6,7. However, Cronemberger estrabismoo al. Comparison of Botox with a Chinese type A botulinum toxin. InScott concluded that BTA was the ideal drug to cause temporary paralysis of extraocular muscles and produce permanent changes in ocular alignment with few side effects.

Children can ewtrabismo stereopsis 3-D vision and binocularity simultaneous use of the eyes in addition estrabismoo loss of vision in the crossing eye amblyopia. Of these, 14 were measured at least for six months of follow up.

In our study, complications ptosis in The incidence of adverse effects was also evaluated. J Pediatr Ophthalmol Strabismus ; The minimum follow-up time was 3 months and the maximum was 1 year.