Atlas of Ophthalmology

Sensory Esotropia

Sensory Esotropia
In this photo, the Krimsky method is employed to measure the angle of the esotropia. The light reflex does not center with 45PD base out over either eye, suggesting a very large angle esotropia. In this photograph, a 45 PD prism was placed over EACH eye and this almost centered the light reflex but not completely. The patient has a greater than 90 PD esotropia. Prisms can be added together if one is used over each eye but two horizontal (or vertical) prisms cannot be stacked on top of each other and used over one eye for a purely horizontal strabismus. If there were a horizontal and vertical component to the strabismus, the vertical and horizontal prisms could be stacked on top of one another.
Luviano, Damien, M.D., Los Angeles County¦2, Los Angeles, USA
H50.0
Strabismus, Ocular Motility Disorders -> Esodeviations -> Case: Sensory Esotropia
7876
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