Classification of Strabismic Binocular Vision Disorders: Direction

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

64

Chapter Four

Table 4-3

Classification of Strabismic Binocular Vision Disorders


Direction
• Esotropia: Eyes turn in
• Exotropia: Eyes turn out
• Hypertropia: One eye turns up
Each of these conditions are also classified based on the following characteristics.
Frequency
• Intermittent esotropia or constant esotropia
• Intermittent exotropia or constant exotropia
• Intermittent hypertropia or constant hypertropia

Laterality
• Right esotropia, left esotropia, or alternating esotropia
• Right exotropia, left exotropia, or alternating exotropia
• Right hypertropia, left hypertropia, or alternating hypertropia

Comitancy
• Comitant or noncomitant esotropia
• Comitant or noncomitant exotropia
• Comitant or noncomitant hypertropia

Table 4-4

Classification of Nonstrabismic Binocular Vision Disorders


Direction
• Esophoria: Eyes have a tendency to turn in
• Exophoria: Eyes have a tendency to turn out
• Hyperphoria: One eye has a tendency to turn up
• Nonstrabismic binocular vision disorders can also be classified based on the relationship between
the magnitude of the phoria at distance and the magnitude of the phoria at near.

Distance to Near Relationship


• Magnitude equal at distance and near: Basic esophoria
Basic exophoria
• Magnitude greater at distance: Divergence excess (exophoria)
Divergence insufficiency (esophoria)
• Magnitude greater at near: Convergence insufficiency (exophoria)
Convergence excess (esophoria)

Direction
The three most common types of strabismus are esotropia (eyes turn in), exotropia (eyes turn
out), and hypertropia (one eye turns up). Combinations of these are possible and often occur. For
example, the right eye could turn up and out or down and in. The direction of the strabismus has
some significance in terms of prognosis for treatment using different treatment modalities. For

You might also like