Monocular and binocular grating acuities were measured using a swept spatial frequency visual evoked potential (VEP) technique in a group of fifteen infants with esotropia and alternating fixation. Both monocular and binocular acuity measures fell significantly below the mean for age-matched normals. Infants with esotropia and alternating fixation did not have significant interocular acuity dif...

The aim of this study was to identify clinical and demographic factors associated with misalignment after first surgery performed on children affected by infantile esotropia to evaluate the reoperation rate. A retrospective study was carried out, analyzing data from 525 children who underwent bilateral medial recti recession, bilateral lateral recti resection, and inferior oblique recession and...

IMPORTANCE Bilateral medial rectus muscle recession and one lateral rectus muscle resection surgery for the correction of large-angle infantile esotropia may be associated with a favorable long-term motor outcome. A consecutive exotropic drift was encountered more commonly than a recurrent esotropic drift in the long run, especially in the smaller (50-69 prism diopters [Δ]) range of preoperativ...

Monocular acuity and stereopsis were assessed by preferential-looking procedures in untreated infantile esotropes. Results were compared to an age-matched normal population. Monocular PL acuity was not significantly different from normal during months 3-14 for infantile esotropes who freely alternated fixation and for the preferred eyes of unilateral infantile esotropes. PL acuity of the non-pr...

PURPOSE Poor response rates and/or the confounding of motion and offset responses make it difficult to interpret results of previous studies of infant hyperacuity. The aim of the present study was to design a protocol that overcomes these limitations and to investigate the normal maturation of hyperacuity. METHODS Hyperacuity of 31 healthy term infants aged 4 to 12 months was measured using r...

PURPOSE To define the critical period for susceptibility of human stereopsis to an anomalous binocular visual experience. METHODS Random dot stereoacuity was measured in 152 children with a history of onset of either infantile or accommodative strabismus before 5 years of age. In each of these populations and in the combined population, the critical periods for susceptibility of stereopsis ar...

OBJECTIVE To study motor and sensory results of surgery for exotropia following botulinum toxin A injection to correct childhood esotropia. METHODS The medical records of 2445 patients treated with botulinum toxin bimedial injection were retrospectively reviewed to select patients operated on after 1 year of consecutive exotropia. We recorded age at onset of deviation, retinoscopic refractive...

PURPOSE To compare the results of two different surgical techniques: 'Cüppers technique', in which the torque of oculomotor rectus muscles is reduced by suturing the muscle to the globe in the posterior half of the globe; and 'Y-split recessions', in which the muscle torque is reduced by Y-splitting the rectus muscles, and reattaching the two halves at an angle to each other. METHODS We carri...