Atlas of Ophthalmology

Divergent concomitant strabismus Exotropia (alternating), except intermittent

Divergent concomitant strabismus Exotropia (alternating), except intermittent
Patient has greater than 45 Prism Diopter Exotropia. In this photo, The Krimsky method is employed to measure the amount of exotropia. The light reflex is almost centered with 45PD (Base in OS). Some physicians also employ the MODIFIED Krimsky method where the prism is placed over the best or dominant eye. In this patient, using two 25 PD prisms over BOTH eyes, allowed for the light reflex to be perfectly centered. Prisms are additive is placed over both eyes, but not when placed on top of each other for exotropia. The patients vision is 20/25 OU. The patient did experienced diplopia with prism corrections greater than 40PD. The patient alternates fixation, but has preference for right eye.
Luviano, Damien, M.D., SETMA Diabetes Center of Excellence¦2, Beaumont, USA
H50.1
斜视 -> Exodeviations -> Case
7872
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