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Volume 44, 1994, p. 1 Symposium: An Approach to Strabismus and Diplopia in the Adult Patient
It is my pleasure to welcome all of you to the 1993 Sunday Night Symposium, co-sponsored by the American Orthoptic Council and the American Association of Certified Orthoptists. Pattye Jenkins, C.O., is the President of the AACO and Co-Chair of this evening's symposium. Tonight's symposium will focus on an approach to strabismus and diplopia in the adult patient.
As a pediatrician and pediatric ophthalmologist, I am often reminded that children are not merely little adults. By the same token, those of us who also see adult strabismus quickly learn that adults are not merely grown-up children.
Strabismus and diplopia in adult patients often present unique diagnostic and therapeutic considerations. This symposium brings together experts in strabismus and orthoptics to highlight, for the general ophthalmologist and specialist alike, their current approach to a number of conditions seen most commonly in adults. We begin by learning about the unique features of diplopia and strabismus after cataract, retinal detachment and glaucoma surgery, as well as in patients with orbital blow-out fractures, Graves eye disease, myasthenia gravis and other myopathies. We then shift our attention to considering an approach to decompensated, long-standing, and sensory strabismus. Monocular and optical diplopia, frequently frustrating and time consuming patient complaints, are our next focus. Finally, we consider the important and sometimes unique features of medical and surgical therapy for diplopia and strabismus in these patients; the proper use of prisms and orthoptic exercises, the surgical approach to the conjunctiva, the use of adjustable sutures, of vessel sparing procedures and of botulinum toxin.
From the Department of Ophthalmology, University of Michigan, Ann Arbor, Michigan. Presented as part of a Symposium at the Joint Meeting of the American Orthoptic Council, the American Association of Certified Orthoptists and the American Academy of Ophthalmology, Chicago, Illinois, November 14, 1993. |
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