PulseExploreJournal ClubDebatesTrendingResearchersJournals
Instagram
HomeExploreJournal ClubTrending
Synapse
⌘+K
Synapse
March 21, 2026American journal of optometry and physiological optics0 citations

Changes in Retinal Correspondence Following Surgery for Intermittent Exotropia

View Full Paper
MFMerton C. FlomDKDavid KirschenAWA. Thomas Williams

Key Points

  • This research aims to understand the changes in retinal correspondence after surgery for intermittent exotropia.
  • Measured angles of deviation and anomaly before and after surgery over a 2.5-month period.
  • Evaluated correspondence changes using diplopia and fusion testing.
  • Conducted a second operation as part of the follow-up process.
  • Post-surgery, there was a decrease to 3Δ of exophoria with normal correspondence when fusing.
  • Observed harmonious anomalous correspondence with an angle of anomaly of 3Δ exo when fusion was disrupted.
  • Changes in angles could not be attributed to variations in fusional vergence.

Abstract

ABSTRACT An intermittent exotrope of 54Δ had harmonious anomalous correspondence when squinting and normal correspondence when bifoveally fixating. Measures of the angle of deviation (H) and angle of anomaly (A) were made at the first postoperative dressing 6 hr after surgery (H = 8–14Δ esotropia, A = 0–54Δ exo) and at several times over a 2.5‐mo period during which a second operation was performed. The final result was 3Δ of exophoria with normal correspondence when fusing and harmonious anomalous correspondence (A = 3Δ exo) when fusion was disrupted. The change in angle of anomaly created by the surgery cannot be explained by changes in fusional vergence. Hallden's “sensory‐fusion” mechanism, which is based on diplopia resulting from stimulation of disparate retinal points, is more useful in explaining the obtained results.

Ask AI
Helpful
Bookmark
Share
View Full Paper

Cite This Study

Flom et al. (1978) studied this question.

synapsesocial.com/papers/69be37096e48c4981c676509https://doi.org/10.1002/j.2330-9512.1978.tb02545.x
Ask AI
Helpful
Bookmark
Share
View Full Paper