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Documente Profesional
Documente Cultură
Tropia Phoria
The strabismus which is The strabismus which is
evident on gross evident upon breaking
inspection the binocular single
vision
This Misalignment Can
Take Several Forms:
Eso (crossed eyes)
Exo (out-turned eyes)
Hyper Or
Hypo (vertical
misalignment)
ORTHOPHORIA
ACCOMODATIVE
NON MIXED
REFRACTIVE
REFARCTIVE ACCOMODATIVE
REFRACTIVE ESOTROPIA
-CORRECTED WITH
GLASSES
EXOTROPIA
EXOTROPIA
CONSTANT INTERMITTENT
Straight for
Near Fixation
HEAD TILT:
Hess screen
Lees screen
Lancaster red/green test
HESS TEST IN ® LR PALSY
Krimsky test
Cover uncover test
Exotropia, Constant
May be visible with or without
alternate cover
May or may not have constant
diplopia
G.Vicente,MD
Cover – Uncover test
Esophoria, abnormal, common
Only seen when eye is covered
Often asymptomatic, no complaints
Note OS does not move.
G.Vicente,MD
Alternate Cover test
Exotropia, intermittent
May be visible with or without
alternate cover
May have intermittent diplopia,
especially when tired or sick
Mom sees misalignment every
now and then.
G.Vicente,MD
Cover – Uncover test
Exophoria, abnormal, common
Only seen when eye is covered
Note OS does not move
Often asymptomatic, no complaints.
G.Vicente,MD
Cover – Uncover test
Orthophoria, normal
No complaints, asymptomatic
G.Vicente,MD
Label …
IMPORTANCE OF
REFRACTIVE ERRORS
• Astigmatism
• Anisometropia
Cycloplegic refraction (to
neutralize accommodation)