Farther Results of Combining Treatment of Concomitant Non-Accommodated Alternating Convergent Strabismus

David Shengelia, Louisa Tsomaia, Vaja Gogoshvili, Manana Kikolashvili 

Department of ophthalmology, Tbilisi State Medical University, Georgia

It is presented the comparisons of concomitant non-accommodated alternating convergent strabismus treatment methods in restoration of binocular vision. 35 patients from 2-15 year olds with convergent strabismus, were studied, who underwent surgical treatment 5-10 years ago. These patients were divided into age groups and according to their orthoptodiploptic treatment-into 3 sub groups simultaneously. After the analysis of their cosmetic and functional features it was clarified that binocular contact and fusial reserves were primarily developed in those children who underwent complete course of orthoptodiploptic treatment. Division according the age of onset showed that, fixation mechanism developed in non-trained children, only when the operation was done in early years and it showed that post operative vertical component prevented the development of binocular vision.

Keywords:  concomitant strabismus, binocular vision, fusion accommodation, convergence, children