• Breaking Alternating Intermittent Exo Tropia

    January 25, 2012 | POSTED BY | Clinical Pearls

    The nature of this binocular condition is that it is not always present; to make the strab easier to spot, do alternating CT FIRST, and then proceed to the unilateral...

  • 2-4-6 Rule of Strabismus

    December 8, 2011 | POSTED BY | Clinical Pearls

    Here is a "strabismus guideline". I wouldn't call it a hard and fast rule or a fact but you can use it to point you in the right direction. The 2-4-6 rule states that if a strabismus occurs before age 2, you always get amblyopia; if...

  • Strabismus Epidemiology

    December 6, 2011 | POSTED BY | Clinical Pearls

    5% of the general population has some kind of strabismus 25% of TBI patients have some kind of strabismus 50% or more of patients with neurological disorders (e.g., CP, MS) have some kind of...

  • Percival / Sheard’s / 1:1 Rule for Prism

    November 10, 2011 | POSTED BY | Clinical Pearls

    When Rxing prism for your patients, don't just pick an arbitrary value! Use one of these criteria. Sheard's Best for EXO patients The fusional reserve must be at least 2 times the demand Prism Needed = 2/3(Demand) -...

  • Bruckner Testing and Strab

    October 31, 2011 | POSTED BY | Clinical Pearls

    Bruckner testing can be helpful in observing strabismus. When doing the Bruckner test, fundus reflex is one characteristic to pay close attention to. A patient with a strabismus may show an increased light reflex in the deviated eye. Using...