Test 46
(Extended Matching Questions)
 
Choose the best needle shape from above for the following tasks: 
1.  The correction of an esotropia using resection and recession of the rectus muscles.

2. Suturing of a full thickness corneal graft in a patient with keratoconus.

3. Suturing of iris following a broad iridectomy.

4. Suturing of the tarsal plate following full thickness eyelid excision of a basal cell carcinoma.

5. Closure of a skin defect without risk of the needle cutting through the surface.



 
A. infantile esotropia
B refractive accommodative esotropia
C. non-refractive accommodative esotropia
D. paretic esotropia
Match the following clinical findings with the most diagnosis from above
(CT= cover test; LCS = left convergence squint; RCS= right convergence squint; 
PCT= prism cover test; N = near fixation; D= distance fixation; BO = base out; 
OM= ocular movement; RE= right eye; LE= left eye and OU= both eyes):
1. CT:    LCS
PCT:  N 1/3 m   BO 45D
          D 6m       BO 45D
OM:   comitant deviation
Cycloplegic refraction: RE +1.25D   LE +1.50D 

2. CT:    LCS
PCT:  N 1/3 m   BO 45D
          D 6m       BO 35D
OM:   comitant deviation
Cycloplegic refraction: RE +5.25D  LE +5.75D

3. CT:    LCS
PCT:  N 1/3 m   BO 10D
          D 6m       BO 35D
OM:   noncomitant deviation, increased deviation with attempted abduction of the left eye.
Cycloplegic refraction: RE +0.75D  LE +0.50D

4. CT:    RCS
PCT:  N 1/3 m   BO 60D
          D 6m       BO 40D
OM:   comitant deviation
Cycloplegic refraction: OU +6.50

5. CT:    LCS
PCT:  N 1/3 m   BO 30D
          D 6m       BO 10D
OM:   comitant deviation
Cycloplegic refraction: OU +1.75D

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