BTSR0432p Strabology II - lecture

Faculty of Medicine
spring 2020
Extent and Intensity
2/0/0. 3 credit(s). Type of Completion: zk (examination).
MUDr. Martin Komínek (lecturer), doc. MUDr. Svatopluk Synek, CSc. (deputy)
Guaranteed by
MUDr. Miroslav Dostálek, Ph.D.
Department of Optometry and Orthoptics - Departments of Non-medical Branches - Faculty of Medicine
Contact Person: Lenka Herníková
Supplier department: Department of Optometry and Orthoptics - Departments of Non-medical Branches - Faculty of Medicine
each odd Wednesday 8:00–11:50 KOM S116
BTSR0331p Strabology I - lecture && BTSR0331c Strabology I - practice && BTSR0331s Strabology I - seminary
BTSR0331p && BTSR0331c && BTSR0331s
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 type of strabismus, its etiology, symptoms and diagnosis including further therapeutic approach suggestions.
  • 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.
    required literature
  • HROMÁDKOVÁ, Lada. Šilhání. Vyd. 3., nezměn. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů, 2011. 162 s. ISBN 9788070135303. info
  • Strabismus. Edited by Gabriela Divišová. 2. uprav. vyd. Praha: Avicenum, 1990. 306 s., ob. ISBN 80-201-0037-7. info
    recommended literature
  • • Rowe, F.J.: Clinical Ortopthics, 3rd edition, Wiley-Blackwell, Chichester, 2012
  • Gerinec, A.: Detská oftalmológia, Osveta, Martin, 2005
  • AUTRATA, Rudolf. Dětská oftalmologie 1. díl. Brno: LF MU, 2008. ISSN 1801-6103
  • Dostálek, M. Vergenčně akomodační synkinéza a patofyziologie některých strabismů. Lékařská fakulta Hradec Králové, UK Praha, 2002
  • Dostálek, M., Obecná fyziologie binokulárního vidění.2010
  • Bowling, B.: Kanski´s Clinical Ophthalmology, A systemic approach, 8th Eddition, Elsevier, 20
  • • Kuchynka, P. a kol.: Oční lékařství, 2. vydání, Grada, Praha 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
    not specified
  • Goméz de Liano, R.(ed.): Transactions 30th European Strabismological Association Meeting, European Strabismological Association, Madrid, 2006: 57- 60.
  • 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
Assessment methods
Oral examination (two questions, see teacher´s information. Minimal grade E evaluation of answers to questions is needed to pass.
Language of instruction
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 Spring 2015, Spring 2016, Spring 2017, Spring 2018, spring 2019.
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