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Dysconjugate Gaze - Esotropia, Exotropia and Cranial Nerve Disorders

#Diagnosis #Ophthalmology #Dysconjugate #Gaze #Esotropia #Exotropia

** GrepMed Recommended
Dysconjugate Gaze ... - Esotropia, Exotropia ... #Dysconjugate #Gaze ... #Esotropia #Exotropia
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
with direction of gaze ... Accommodative Esotropia ... ipsilateral covered) • Exotropia ... Horizontal (eso/exotropia ... vertical (Eso/exotropia
WEBINO on Ocular Examination

WEBINO = Wall-eyed bilateral internuclear ophthalmoplegia with Midbrain exotropia,  b/l ADduction impairment,
with Midbrain exotropia ... eye nystagmus & Gaze
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
complete left gaze ... OU with a right gaze ... nystagmus in far right gaze ... causes a horizontal gaze ... nystagmus in that gaze
The eye is very complex and contains various tissues and structures that work together to provide
eye turns in (esotropia ... ), out (exotropia
Thyroid Eye Signs 
Lid Signs
    Dalrymple’s Sign: Lid Retraction.
    Von
eyelid on downward gaze ... lid on downward gaze ... forehead on superior gaze ... wrinkling on up gaze
Rapid Pediatric Assessment Diagram:
* Assessment of Appearance
  - Tone: Moves spontaneously, resists examination
  -
caregiver - Gaze
Seesaw Nystagmus on Physical Exam

Ocular examination revealed rhythmic, torsional, and vertical movement in which the eye
during downward gaze
Positive FAST exam - Morrison’s Pouch

Ever so often its nice to gaze upon a crisp &
often its nice to gaze
Abnormal Doll's Eye (Oculocephalic) Reflex on Physical Examination

Normally, a patient's eyes should move in the opposite
maintaining their gaze