@Article{Broniarczyk-Loba2003,
journal="Klinika Oczna / Acta Ophthalmologica Polonica",
issn="0023-2157",
volume="105",
number="6",
year="2003",
title="Advancements in diagnosis and surgical treatment 
of strabismus in adolescents and adults",
abstract="Purpose: To present complete process of pre-operative strabismus diagnosis, which can be used for prediction of post-operative diplopia in adolescents and adults.  Material and methods: The study involved three patients, who were qualified for the surgical treatment of strabismus. Complete pre-operative diagnosis predicting potential post-operative diplopia was performed in all patients. The prismatic test for diplopia, hyperfunctional muscle botuline toxin injection, and prism correction were performed.  Results: Regarding the results of tests, two patients were qualified for surgical treatment. None of them suffered from diplopia after this treatment. The third patient in pre-operative tests showed unacceptably high risk of intolerable diplopia.  Conclusions: Post-operative diplopia in adolescents and adults represents a serious problem, especially in susceptible patients. Accurate and complete pre-operative diagnosis allows for risk reduction in post-operative diplopia. The predictive test for post-operative diplopia, botuline toxin injection and prism correction in isolation are not always able, to give a reliable indication, as to the sensory status following strabismus surgery. A combination of the three above mentioned techniques give more reliable diagnosis. For patients, who can possibly suffer from post-operative diplopia, the adjustable suture technique should be applied.",
author="Broniarczyk-Loba, Anna
and Nowakowska, Olimpia
and Laudańska-Olszewska, Iwona
and Omulecki, Wojciech",
pages="410--413",
url="https://www.termedia.pl/Advancements-in-diagnosis-and-surgical-treatment-r-nof-strabismus-in-adolescents-and-adults,124,49195,1,1.html"
}