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Br J Ophthalmol 89:1311-1317 doi:10.1136/bjo.2005.068171
  • Clinical science
    • Extended reports

The achiasmia spectrum: congenitally reduced chiasmal decussation

Table 1

 Summary of study patients

Case no Sex Type* Age (years) Refraction Visual acuity (logMAR) Nystagmus Strabismus
XT  =  exotropia; ET  =  esotropia.
*Type: A  =  no other midline abnormality on imaging except small chiasm; B  =  septo-optic dysplasia (optic nerve hypoplasia, hypopituitarism, deficient septum pellucidum); C  =  skull base encephalocele + agenesis of the corpus callosum + hypopituitarism.
†Angle of strabismus in prism dioptres.
1 M A 9 RE −1.50 + 0.50 × 90 1.0 Horizontal XT small angle†
LE 0.00 + 1.00 × 90 0.6 R head turn V pattern
2 F A 4 RE 0.00 + 0.50 × 90 0.6 Horizontal XT small angle
LE 0.00 + 1.50 × 90 0.5 Horizontal V pattern
3 F A 12 RE +1.50 sph 0.1 Minimal rotary nystagmus ET small angle
LE +1.50 sph 0.6 Amplitude L>>R
4 F B 4 RE +1.00 sph Very poor Rotary + horizontal Right XT angle 30
LE +2.00 sph 0.6
5 F B 12 RE +3.0 sph Greater than 1.0 Highly variable Right ET angle 45
LE +1.0 +4.0 × 90 0.6 Horizontal and vertical(not seesaw)
6 F C 10 RE −5.00 −1.00 × 80 0.7 Seesaw variant: circumrotary+ dysconjugate vertical No detectable strabismus
LE −3.50 −2.50 × 120 0.5
7 M C 14 RE −0.50 +1.00 × 90 0.8 Horizontal No detectable strabismus
LE +1.00 +1.00 × 90 0.5 Left beating, rotary component in 1°
8 M C Deceased RE −4.50 + 2.00 × 120 Greater than 1.0 Type unclear Vertical gaze palsy
LE −1.50 + 1.00 × 180 1.0
9 M Other 6 RE +0.50 +1.00 × 120 0.6 Horizontal No detectable strabismus
LE +0.50 +0.50 × 90 0.6 Head shake

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