Estrabismo y diplopía en paciente con alta anisometropía e intervenido de joven de desprendimiento de retina

Laburpena

The opinion of six strabismus experts was requested for the clinical case of a 51-year-old patient who came to the clinic for the first time in December, 2017, complaining of strabismus of the left eye and diplopia presenting the previous 4-5 months. They are informed of the systemic and ocular past history, the test results the patient has provided and any other test requested, as well as the examination, the surgery performed for his strabismus, results and current situation. And they are asked to give their opinion on the following questions: 1. Brief summary of the condition we are facing and the cause of the recurrence. 2. How do you explain that, with such low visual acuity in the left eye, the patient complains of diplopia? And, given such an unfavorable sensory and motor situation, the fact that the patient is still capable of occasionally joining the images of both eyes? 3. What do you think is the cause of the progressive enlargement of the left palpebral fissure, after RD surgery, especially due to the upper eyelid? 4.Would you carry out or request any other tests? 5. Would you perform surgical treatment again or would you wait? 6. When opting for surgery: What type of anesthesia would you use? What would your surgical approach be? Besides the passive duction test, would you consider any perioperative data to change or decide the surgical protocol? Would you tend to over-correct to avoid recurrence again? The full comments of all the panelists are presented and a final summary is made.