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Author Archives: Dr.Gamal Sobhy

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Dr.Gamal Sobhy
Professor of ophthalmology. Head of Strabismus Unit Memorial Institute of Ophthalmic Research Egypt.

Acute 6th Nerve Palsy ( Abducent Nerve Palsy )

Acute 6th Nerve Palsy ( Abducent Nerve Palsy )

Acute 6th Nerve Palsy ( Abducent Nerve Palsy ) The diagnosis of Acute 6th Nerve Palsy should not present any difficulties : 1.There is marked limited abduction of the paretic eye . 2.The greatest esotropia occurs on attempts to abduct the paretic eye . 3. Most patients will complain about double vision in lateral gaze and assume a compensatory face turn ... Read More »

Huge Exotropia Working on the sound eye

Huge Exotropia Working on the sound eye

Huge Exotropia Working on the sound eye It is usually a hard job to convince such  patients that this huge XT will not be corrected without working on their seeing eye. Adding one muscle from the sound eye to the surgical plan usually gives satisfactory results. A lateral rectus recession of the sound Lt eye was needed for perfect surgical correction. ... Read More »

Abnormal chin up due to A pattern esotropia

Abnormal chin up due to A pattern esotropia

Abnormal chin up due to A pattern esotropia One of the most valuable contributions in the second part of the twentieth century to the field of strabismus was the emphasis on what has come to be known as the A and V patterns of strabismus. A pattern esotropia usually Associated with : Mongoloid Fissure , Medial Pulley down & Lateral ... Read More »

Bilateral Congenital Superior Oblique Palsy with Intermittent V Exotropia

Bilateral Congenital Superior Oblique Palsy with Intermittent V Exotropia

Bilateral Congenital Superior Oblique Palsy with Intermittent V Exotropia C/O : Parents of this 4y old child complain that the eyes of their child sometimes deviate out they noticed this since early childhood Motility : Versions are an extremely important part of the diagnosis of superior oblique palsy. The most tell-tale finding is inferior oblique overaction, and to a lesser ... Read More »

Brown Syndrome

Brown Syndrome

Brown Syndrome Brown syndrome is a rare form of strabismus characterized by limited elevation of the affected eye. The disorder may be congenital(existing at or before birth), or acquired. Brown syndrome is caused by a malfunction of the Superior oblique muscle, causing the eye to have difficulty moving up, particularly during adduction (when eye turns towards the nose). Harold W. ... Read More »

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