Publications (2)0.28 Total impact
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Article: [Skew deviation. Strabismological diagnosis and treatment alternatives].
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ABSTRACT: We undertook this study to analyze diagnostic and treatment alternatives in patients with skew deviation (SD). This is a prospective, observational and longitudinal study of patients with SD. The study took place in a third-level medical center during the period from September 2007 to May 2008. Strabismological exploration, multidisciplinary diagnosis and treatment alternatives were analyzed. Ten patients presenting SD were studied. Diagnoses were multiple sclerosis, arteriovenous malformation, epilepsy, hydrocephalus, ischemic encephalopathy, cortical atrophy, hypoplasia of corpus callosum and thalamic hemorrhage. Psychomotor retardation was present in 80%. Other diagnoses were Cogan apraxia, Parinaud syndrome, see-saw nystagmus, Foville syndrome, and hemiplegic alterations. Related strabismuses were exotropia (5), esotropia (3), hypertropia (2), and dissociated vertical deviation (1). Lesions of II, III and VII cranial nerves were found. Complete strabological study allows a better diagnosis of the lesion and consequently relapsing disease in order to achieve a better treatment according to each patient. Optical rehabilitation and botulinum applications are especially indicated.Cirugia y cirujanos 77(4):267-73; 249-55. · 0.14 Impact Factor -
Article: [Study of depression and sensorial functions in children with strabismus. First phase].
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ABSTRACT: We undertook this study to demonstrate the visuomotor alterations, intelligence level and depression changes in children with recurrent strabismus. Children with recurrent strabismus were studied with the Human Figure Test, Lauretta Bender Visuomotor Test, Intelligence Level of Weschler, WISC-R, and WPPSI. Complete exploration of strabismus was made. We included nine children aged 6.8 years (SD 2). Overfunction of oblique muscles and dissociated strabismus were related to recurrence of strabismus. Stereovision was present in five cases previous to recurrence (rate: 170 sec of arc), and three lost this with recurrence of strabismus. Psychological test determined difficulties in socialization and signs of aggression, including data on depression and "dullness." Bender Test showed relevant defects in fine hand movement, level: 5.4 (SD 1.7). Santucci evaluation for Bender was 3.83 (SD 2.1). Correlation coefficient between values was significant for Santucci evaluation and stereovision (0.89). Global Intelligence Coefficient was 88.1 (SD 12), which was subnormal and poorer in executive function (84). We have demonstrated relevant alterations in visuomotor abilities in patients with strabismus, especially related to stereovision deficiency, effect on learning, intelligence and depression.Cirugia y cirujanos 76(2):101-7. · 0.14 Impact Factor
