Amplify EyeCare Manhattan Logo
Authors
Kim, Jae Hyoung; Hwang, Jeong-Min

Variable Synergistic Divergence

publication date
July 25, 2009
Category
see more

Abstract/Introduction

Purpose. 

To report a patient with congenital fibrosis of the extraocular muscles showing either synergistic divergence or adduction.

 

Case Report

A 7-year-old girl presented with complaints of abnormal eye movement since early childhood. A detailed ophthalmologic examination was performed. On ophthalmologic evaluation, her corrected visual acuities were 20/50 OU. She had 12 prism diopters of exotropia at distance and near in the primary position. During attempted right gaze, OU abducted. During attempted left gaze, the right eye adducted or abducted. Upgaze and downgaze were limited. Levator function was evaluated at 0 mm with a marginal reflex distance of −1 in OU. On thin-section brain stem magnetic resonance imaging, the left abducens nerve was absent, and the right and left oculomotor nerves were severely hypoplastic. The oculomotor nerve was smaller than the acoustic nerve was, and this was interpreted as hypoplasia according to a previous method (Kim and Hwang, Ophthalmology 2005;112:728–32). The medial and superior recti of OU were atrophic.


Conclusion/Results

Conclusions. 

A patient with congenital fibrosis of the extraocular muscles may show alternatively either synergistic divergence or adduction, which has not been documented before.


Testimonials


At Amplify with Dr Wernick I was seeking help for seemingly intractable, probably age-related dryness. I've seen other doctors about it, and that has been helpful, but what he explained to me about it and the careful way he answered all my questions gave me so much more of a clear understanding of what is going on (and is not) that I am more able to implement all his and others' recommendations than I was before. And he gave me additional resources for further follow-up. I am most grateful.


Cynthia Norton

Wow! This is a great Eye Care medical facility. I was thoroughly examined by Dr. Pinkhasov for over 2 hours. She made sure to check my eyes for pretty much everything and patiently explained proper care for my eyes. They definitely know how to provide great care and treat their patients right. Now I know why they have such a great reputation and been around for so long.


Steve Fay

Dr. Kavner is a gifted diagnostician and orthoptic therapist. He treated me several decades ago for a condition similar to dyslexia. I was having migraines five times per week. I worked with him for about a year and I experienced tremendous improvement (down to 3-4 per year) that has lasted.


Mary K.

Dr. Kavner recommended two types of eye therapy for my daughter. One of them using bio-feedback. In just three sessions she is seeing considerably better. She shouted this morning: Ooh my God! I could not see these letters with my glasses on, and now I can see them without my glasses. If you are willing and able to invest in improving your vision, this is a good place to go to!


Peter G.

Dr. Kavner recommended two types of eye therapy for my daughter. One of them using bio-feedback. In just three sessions she is seeing considerably better. She shouted this morning: Ooh my God! I could not see these letters with my glasses on, and now I can see them without my glasses. If you are willing and able to invest in improving your vision, this is a good place to go to!


Kinkie F.

I have always found Dr Kavner's work, expertise and wisdom of the highest caliber. As one of the fathers of OT, occupational othomology, his depth and breadth of knowledge about the eyes' health and wellbeing of the patient is exemplary. Cannot say enough good things about him.


Allen B.
1 2 3

Blog

MTN-heroimage-01

Exotropia treatment in NYC

Exotropia is one of the most common types of childhood strabismus, where one or both eyes are turned outwards, with […]

Read More
adrian-swancar-roCfgvkBLVY-unsplash

How often should I go in for imaging and ERG if I have Glaucoma?

Understanding the importance of routine advanced testing for Glaucoma In the United States, glaucoma affects about 3 million people. It […]

Read More
pexels-fotografierende-3876938

What is Exophoria?

Exophoria occurs when one or both eyes drift outward when looking at an object. You will find it difficult to […]

Read More
see all blogs

Contact Us To Amplify Your EyeCare

Working Hours

Monday - Thursday
8:00 am - 5:15pm
friday-sunday
Closed
Location
235 East 67th Street, Suite 201, New York, New York, United States, 10065
Website Accessibility Policy
Safety protocols page
phone-handsetarrow-uparrow-right linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram