The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Amblypic esotropia

Photo by Professor Chua Chung Nen

This 5-year old boy was referred because of left esotropia. Both eyes were straight until 2 years ago when he developed a left orbital cellulitis which caused his left eye to close for about a week. The visual acuity measured 6/6 in the right eye and 6/60 in the left eye. Refraction showed no significant ametropia. Patching was performed and the vision improved to 6/18. Further improvement could not be obtained with further patching. Squint surgery was carried out before the patient entered the primary school. The post-operative result appeared satisfactory.

 

Left large angle esotropia.

 

The left eye could abduct normally which excluded abducent nerve palsy as a cause.

 

3-day post squint surgery.

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