BTSR0331p Strabology I - lecture

Faculty of Medicine
autumn 2021
Extent and Intensity
2/0/0. 3 credit(s). Type of Completion: k (colloquium).
Teacher(s)
prof. MUDr. Rudolf Autrata, CSc., MBA (lecturer)
MUDr. Martin Komínek (lecturer), doc. MUDr. Svatopluk Synek, CSc. (deputy)
Guaranteed by
prof. MUDr. Rudolf Autrata, CSc., MBA
Department of Pediatric Ophthalmology – Institutions shared with the Faculty Hospital Brno (paediatric medicine) – Faculty of Medicine
Contact Person: Lenka Herníková
Supplier department: Department of Pediatric Ophthalmology – Institutions shared with the Faculty Hospital Brno (paediatric medicine) – Faculty of Medicine (50,00 %), Department of Optometry and Orthoptics – Departments of Non-medical Branches – Faculty of Medicine (50,00 %)
Timetable
Mon 20. 9. 14:30–18:20 KOM 410, Mon 4. 10. 14:30–18:20 KOM 410, Mon 18. 10. 14:30–18:20 KOM 410, Mon 1. 11. 14:30–18:20 KOM 410, Mon 15. 11. 14:30–18:20 KOM 410, Mon 29. 11. 14:30–18:20 KOM 410, Mon 13. 12. 14:30–18:20 KOM 410
Prerequisites
BTSP0211c Propedeutics of strabismology
BTSR0211s && BTSR0211c
Course Enrolment Limitations
The course is only offered to the students of the study fields the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives
Strabology deals with single binocular vision disorders which can be clinically described as squint. Particular emphasis will be given to the clininical signs, patophysiology, diagnostics a and treatment of the ocular motility disorders.
Learning outcomes
At the end of these lectures student will be able to define particular types of strabismus, its etiology, symptoms and diagnosis including further therapeutic approach suggestions .
Syllabus
  • Strabismus spurius (etiology, clinical signs, therapy)
  • Pseudostrabismus (etiology, classification, clinical signs, therapy)
  • Concomitant strabismus etiology (etiology, classification, clinical signs, therapy),
  • Esotropia ( accomodative, refractive, nonrefractive, hypoaccomodative, partially accomodative), nonaccomodative (infantile, nonaccomodative convergence excess, basic, acute. Diverence insufficiency, cyclic, mikrotropy, nystagmus blockage syndrom, secundary (senzoric, consecutive
  • Exotropia ( classification, senzoric, consecutive)
  • vertial deviatons, A and V, X, Y pattern syndromes (etiology, classification, clinical signs, therapy)
  • Restrictive strabismus ( orbital fractures including blow out orbital fracture; restrictive myopathy in thyroid eye disease; restrictive strabismus in high myopia
  • Incomitants strabismus (etiology, classification, clinical signs, therapy) – paralytic, nonparalitic ( abberant inervation, dissociated deviations). Nerve palsy - n. III., IV. and VI.( abberant inervation, dissociated deviations), Congenital Cranial Dysinervation Dysorders( CCDD) - Brown sy, Duan sy, Möbiův sy. Neuroanatomical strabismus ( primary moyopathies, orbital connective tissue disordrs, peripheral motoric neuropathies
  • Active muscle pullies theory.
  • Surgical management of strabismus - surgery of rectus and oblique muscles. Surgical complications.
  • Anomalous head postures in children and adults ( diagnostics, Parks three step test, Bielschowski head tilt test)
  • Heterophoria (etiology, classification, clinical signs, therapy) – asymptomatic, symptomatic, intermitent, decompensated
  • Amblyopia – etiology, classification, clinical signs, therapy), etiology (anizometropic, strabismic, ametropic, meridional, occlusive), classification according to Francoise and Vandekerckhove, experimental amblyopia
  • Lectures may be supplemented by invited experts in orthoptics and/or strabismology.
Literature
    required literature
  • HROMÁDKOVÁ, Lada. Šilhání. Vyd. 3., nezměn. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů, 2011, 162 s. ISBN 9788070135303. info
  • DIVIŠOVÁ, Gabriela. Strabismus. Vyd. 1. Praha: Avicenum, zdravotnické nakladatelství, 1979, 295 s. info
    recommended literature
  • Dostálek, M. Vergenčně akomodační synkinéza a patofyziologie některých strabismů. Lékařská fakulta Hradec Králové, UK Praha, 2002
  • • Rowe, F.J.: Clinical Ortopthics, 3rd edition, Wiley-Blackwell, Chichester, 2012
  • Dostálek, M., Obecná fyziologie binokulárního vidění.2010
  • • Bowling, B.: Kanski´s Clinical Ophthalmology, A systemic approach, 8th Eddition, Elsevier, 2016
  • Pediatric ophthalmology, neuro-ophthalmology, genetics. Edited by Birgit Lorenz - Michael C. Brodsky. Berlin: Springer, 2010, xvi, 231. ISBN 9783540858515. info
  • SCHEIMAN, Mitchell and Bruce WICK. Clinical management of binocular vision : heterophoric, accommodative, and eye movement disorders. 3rd ed. Philadelphia: Lippincott Williams & Wilkins, 2008, xii, 748. ISBN 9780781777841. info
  • AUTRATA, Rudolf. Dětská oftalmologie 1. díl. Brno: LF MU, 2008. ISSN 1801-6103. info
  • KUCHYNKA, Pavel. Oční lékařství. 1.vyd. Praha: Grada, 2007, [40], 768. ISBN 9788024711638. info
  • GERINEC, Anton. Detská oftalmológia. 1. vyd. Martin: Osveta, 2005, 592 s. ISBN 8080631816. info
  • OTRADOVEC, Jiří. Klinická neurooftalmologie. Vyd. 1. Praha: Grada, 2003, 487s. ISBN 8024702800. info
    not specified
  • Folia strabologica et neuroophthalmologica, Trendy v dětské oftalmologii a strabologii, sborník transakt. ISSN 1213-1032
  • Judge, S.J.: How is binocularity maintained during convergence and divergence? Eye, 1996(10): 172-176
  • HORNOVÁ, Jara. Oční propedeutika. 1. vyd. Praha: Grada, 2011, 103 s. ISBN 9788024740874. info
  • FENDRYCHOVÁ, Jaroslava, Miluše VACUŠKOVÁ and Alena ZOUHAROVÁ. Ošetřovatelské diagnózy v pediatrii. 2. přeprac. vyd. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů, 2005, 160 s. ISBN 8070134321. info
Teaching methods
lecture
Assessment methods
colloquium
Language of instruction
Czech
Further comments (probably available only in Czech)
Study Materials
The course is taught annually.
Information on the extent and intensity of the course: 30.
Listed among pre-requisites of other courses
The course is also listed under the following terms Autumn 2014, Autumn 2015, Autumn 2016, Autumn 2017, autumn 2018, autumn 2019, autumn 2020, autumn 2022, autumn 2023, autumn 2024.
  • Enrolment Statistics (autumn 2021, recent)
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