Orthoptic Training and Surgery in Hyperphoria and Hypertropia Combined with Lateral Deviations

Abstract

The indications and contraindications for orthoptic training and surgery, the methods used by various authors and the preferences of these authors for the operative correction of hyperphoria and hypertropia combined with lateral deviations are considered. Attention is directed to the pessimistic statements in the literature concerning the possibility of establishing binocular vision in heterotropia, especially in hypertropia. Results of preoperative and postoperative orthoptic training measures are tabulated. Excellent results were obtained, especially in private patients who were trained for long periods preoperatively and postoperatively. Only a small percentage of clinic patients observed and trained from one to eighteen months obtained satisfactory binocular vision. The results in alternating strabismus were encouraging. From the Orthoptic Training Department of the New York Eye and Ear Infirmary. This study was aided by a grant from the Ophthalmological Foundation, Inc. Read before the American Ophthalmological Society, Lucerne, Canada, July 9–11, 1934. The indications and contraindications for orthoptic training and surgery, the methods used by various authors and the preferences of these authors for the operative correction of hyperphoria and hypertropia combined with lateral deviations are considered. Attention is directed to the pessimistic statements in the literature concerning the possibility of establishing binocular vision in heterotropia, especially in hypertropia. Results of preoperative and postoperative orthoptic training measures are tabulated. Excellent results were obtained, especially in private patients who were trained for long periods preoperatively and postoperatively. Only a small percentage of clinic patients observed and trained from one to eighteen months obtained satisfactory binocular vision. The results in alternating strabismus were encouraging. From the Orthoptic Training Department of the New York Eye and Ear Infirmary. This study was aided by a grant from the Ophthalmological Foundation, Inc. Read before the American Ophthalmological Society, Lucerne, Canada, July 9–11, 1934.