By Dr G. B. J. Keiner (auth.)
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Additional info for New Viewpoints on the Origin of Squint: A Clinical and Statistical Study on its Nature, Cause and Therapy
Intelligence, concentration, irritability and nervous condition were also noted, in addition to the general physical condition. re 10). Attention was paid to motor and functional disturbances as well as anatomical anomalies. The anamnesis. This is extremely important. The data furnish- 32 ed should be checked where possible by interrogation of other members of the family, by examination of baby-photos or portraits of the child's first years and by examination of relatives. The sooner the child is examined after the beginning of the affection, the more reliable will be the information obtained.
I unilat .. alt. Age of onset 0-1 yr. 1-2 yr. 2-3 yr. 3-4 yr. 4-5yr. 5-6 yr. 6-7 yr. over 7 yr. 30 Hereditary I ! 94 % of the total number of squinting children already had a manifest squint at the end of their first year of life. 33% of the total number of patients already have a squint at the age of about 2 years. This is an essential and constant squint and is, therefore, quite different from the occasional, transitory squint which may result from the dissociation of the ocular movements that is easily observable in aU infants, sometimes even for several months after birth, a phenomenon to which we shall return in a subsequent chapter in connection with ocular movements.
Edgerton observed retinal haemorrhages in 50 % of prematures and 90 % of immature infants. Among 458 normal babies he found 131 (28 %) with a retinal haemorrhage, this being in the macula in 4 cases. Most of the haemorrhages were seen along the vessels or close to the papilla in the fibre layer. From the fact that such haemorrhages were also observed shortly after birth in the retinae of 3 full-term infants delivered by caesarean section it must be concluded that obstetrical trauma is not the sole cause.
New Viewpoints on the Origin of Squint: A Clinical and Statistical Study on its Nature, Cause and Therapy by Dr G. B. J. Keiner (auth.)