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Old 04-15-2013
wertheworld11's Avatar
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Eye Management of child with strabismus

A one year old child is brought in for a regular "well baby" check up. The child appears to have strabismus. The reflection of a bright light from the ceiling of the examination room comes from a different place in each eye. The family explains that the child has always looked that way, and there has been no recent change in the appearance his eyes. Which of the following is the most effective management?

a. No treatment unless the condition has not resolved spontaneously by age 7
b. Corrective lenses
c. Each eye patched for a month at at time, alternating sides
d. Surgical correction whenever he is old enough to decide whether he wants it for cosmetic reasons
e. Surgical correction as soon as it is practical to do it
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Old 04-15-2013
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i think c....each eye patched for a month at at time

if not corrected then followed by surgery

thanks
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Old 04-17-2013
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Default b. Corrective lenses

because there is no associated ambylopia
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Old 04-17-2013
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Default The Correct answer is E

The correct answer, according to the book (Kaplan Qbank) is E

Here's their explanation
This is not an emergency, but strabismus must be corrected as soon as possible to enable the brain to learn to process images from both eyes. Otherwise, images from one side are suppressed by age 7, permanent cortical blindness will occur in the suppressed side (amblyopia).


But I am still confused in these kind of questions. I don't know when patching is the best answer and when surgery is the best answer. I put up this question to see if anyone can give an algorithm as to when to choose patching and when to straightaway go for other options like surgery.
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Old 04-17-2013
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Quote:
Originally Posted by wertheworld11 View Post
The correct answer, according to the book (Kaplan Qbank) is E

Here's their explanation
This is not an emergency, but strabismus must be corrected as soon as possible to enable the brain to learn to process images from both eyes. Otherwise, images from one side are suppressed by age 7, permanent cortical blindness will occur in the suppressed side (amblyopia).


But I am still confused in these kind of questions. I don't know when patching is the best answer and when surgery is the best answer. I put up this question to see if anyone can give an algorithm as to when to choose patching and when to straightaway go for other options like surgery.
really thankful to the question buddy...so what did they give explanation for patching option..?
surgery is a must and better to do as early as possible,but i think we must try a trial of conservative methods like patching before doing it....but anyhow good question and thanks
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Old 01-06-2014
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Default Dear Venky

Quote:
Originally Posted by venky2600 View Post
really thankful to the question buddy...so what did they give explanation for patching option..?
surgery is a must and better to do as early as possible,but i think we must try a trial of conservative methods like patching before doing it....but anyhow good question and thanks
patching is a conservative treatment of Ambliyopia,but Not strabismus. strabismus should undergo surgery as soon as possible, to avoid ambliyopia.
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