motor evaluation
Download
Skip this Video
Download Presentation
Motor evaluation

Loading in 2 Seconds...

play fullscreen
1 / 62

Motor evaluation - PowerPoint PPT Presentation


  • 102 Views
  • Uploaded on

Motor evaluation. Sheela Evangeline K Co ordinators: Ms. Rizwana Mr. Kabilan. Case 1. Presentation. Age: 8 months Complaint of inward deviation of eye. History?. Onset: birth Alternating Family history – mother Not ass with shaking of eye ball Activities normal Birth history: normal.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Motor evaluation' - edward


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
motor evaluation

Motor evaluation

Sheela Evangeline K

Co ordinators:

Ms. Rizwana

Mr. Kabilan

presentation
Presentation

Age: 8 months

Complaint of inward deviation of eye

history
History?

Onset: birth

Alternating

Family history – mother

Not ass with shaking of eye ball

Activities normal

Birth history: normal

evaluation
Evaluation

Gross motor evaluation : normal

Preference of fixating eye : alternating

Visual acuity : fixates light and toys monocularly

No nystagmus

Limitation of abduction

Cyclopleigic refraction: OU: +2.00DS

Modified Krimsky: 45 PD

Fundus: normal

diagnosis
Diagnosis ?

Essential Infantile Esotropia

presentation1
Presentation
  • Age : 5 years
  • C/O inward deviation of eye
history1
History
  • Right eye – constant esotropia
  • No CNS abnormalities
  • Birth history : normal
evaluation1
Evaluation
  • Vision ( with Leas)
    • OD: 6/12
    • OS: 6/9
  • PBCT:
    • Distance: 30 PD
    • Near: 40 PD
  • Comitant
  • No latent nystagmus, dissociated vertical deviation or smooth pursuit asymmetry.
  • Worth four dot test : OD: suppression
  • Cycloplegic retinoscopy
  • OU: +4.00/-0.50 × 180.
  • Slit lamp examination and fundus was normal
what will you do next
What will you do next ?
  • Raab’s plus 3 test
  • CT over glasses
    • Distance: ortho
    • Near: 5 PD esophoria
  • Vision with glasses
    • OD: 6/7.5
    • OS: 6/7.5
diagnosis1
Diagnosis ?

Fully accommodative esotropia

presentation2
Presentation

Age: 11 yr

C/o outward deviation of left eye

history2
History

Onset : 1 yr of age

Constant

evaluation2
Evaluation

Vision OD: 6/6 ; OS: 6/15

LXT for distance and near

PBCT:

Distance: 60 PD

Near: 40 PD

What will you do next ?

patch test
Patch test

Distance deviation remains higher than near deviation

diagnosis2
Diagnosis

True divergence type Exotropia

presentation3
Presentation
  • Age: 9 years
  • C/o outward deviation of right eye
  • Left face turn
  • Limited eye movements
evaluation3
Evaluation
  • Limited abduction
  • Retraction and narrowing of palpebral fissure on adduction
  • Widening on abduction
  • Leash phenomenon present
diagnosis3
Diagnosis ?

Duane’s syndrome

Type 2

presentation4
Presentation
  • Age: 27 years
  • S/p RD surgery at age of 14 yrs
  • c/o inward deviation of left eye since 2 years
    • More in alternate days
    • Ass with decreased vision
evaluation4
Evaluation
  • Vision:
    • OD: 6/6
    • OS: 6/36
  • PBCT:
    • 60 PD on first day
    • 12 PD on second day
diagnosis4
Diagnosis ?

Cyclic Esotropia

management3
Management ?
  • A large recession of the left medial rectus and resection of the left lateral rectus
  • Safety glasses
presentation5
Presentation
  • Age: 30 years
  • S/p RTA
    • Loss of consciousness
    • C/o double vision on awakening – says images are tilted
    • With chin down position diplopia disappears
evaluation5
Evaluation

What do you see ?

evaluation6
Evaluation
  • Slit lamp examination : normal
fundus
Fundus

Characteristic!

diagnosis5
Diagnosis ?

Bilateral superior oblique palsy

Which way would the images be tilted?  

management4
Management
  • Surgery
    • Bilateral inferior rectus recession
    • Medial rectus down shift
    • Bilateral S.O. Harada-Ito
    • Bilateral inferior oblique weakening
diagnosis6
Diagnosis ?

Negative angle kappa

c o squinting1
Vision OU: 6/6

Hirschberg: 15deg ET

Cover test : ortho

C/o squinting
diagnosis7
Diagnosis ?

Pseudo strabismus due to epicanthus

ad