The role of elimination of functional scotoma in the treatment of comitant strabismus (clinic case)

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Gabil Zulfiyev
Hafiz Gahramanov
Gurban Ismayilov

Abstract

INTRODUCTION. Long-term strabismus causes various complications, one of which is functional scotoma or binocular haploscopic suppression. PURPOSE: The main purpose of this article is to show that the elimination of a functional scotoma caused by a complication of strabismus is very important for the elimination of strabismus. MATERIAL AND METODS: A 15-year-old schoolboy with complaints of internal strabismus came to our clinic for surgical correction of strabismus. The patient underwent standard eye examinations and was checked whether or not have movement restrictions in the muscles that move the eyeball. The degree of deviation was measured by Hirschberg's test, alternating prismatic cover test according to generally accepted rules. The examination of the objective angle of strabismus was carried out in the synoptophore. The subjective angle of strabismus, as well as the presence of haploscopic binocular vision, was examined both in the synoptophore and in the "Klinok" computer program. In order to prepare for the operation, appropriate therapeutic exercises were prescribed in the synoptophore and in a special computer program to restore haploscopic binocular vision.
RESULTS: BCVA OD=0.9; OS=0.8; EZO 30PD without correction, 15PD with correction. Binocular haploscopic suppression was found. After a 10-day course of orthooptic treatment, haploscopic binocular vision was restored. Deviation angles decreased both without correction and with correction. After a course of diploptic treatment, carried out after a 1-month break, normal binocular vision with correction was achieved. CONCLUSION: Elimination of functional scotoma and restoration of haploscopic binocular vision facilitates the subsequent stages of strabismus treatment, sometimes allowing to obtain normal binocular vision and achieve orthotropy even without surgical operation.


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How to Cite
Zulfiyev, G., Gahramanov, H., & Ismayilov, G. (2022). The role of elimination of functional scotoma in the treatment of comitant strabismus (clinic case). Scientific Collection «InterConf+», (26(129), 276–282. https://doi.org/10.51582/interconf.19-20.10.2022.030
Author Biographies

Gabil Zulfiyev, Zulfiyev Gabil

Doctor of Philosophy in Medicine, associate professor

Hafiz Gahramanov, Azerbaijan Medical University

Doctor of Philosophy in Medicine, associate professor

Gurban Ismayilov, Azerbaijan Medical University

Doctor of Philosophy in Medicine, associate professor

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