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Intermediate Technical IVT

comitant strabismus

Pronunciation: KOM-ih-tant

A type of strabismus where the deviation remains constant in all directions of gaze, indicating normal extraocular muscle function.

Full Definition

Comitant strabismus, also known as nonparalytic strabismus, is characterized by equal deviation measurements in all nine cardinal directions of gaze, with full extraocular muscle range of motion in both eyes. This is the most common form of strabismus in children and typically results from abnormal binocular vision development rather than muscle weakness or restriction. The term 'comitant' derives from the Latin meaning 'accompanying,' as the eyes move together normally despite being misaligned. Proper identification of comitant versus incomitant strabismus is crucial for determining surgical approach and prognosis.

Usage

Usage note: Distinguish clearly from incomitant; avoid confusing with accommodative strabismus.

In Context

  • "The child presented with comitant esotropia measuring 35 prism diopters in all directions of gaze." — Clinical examination note
  • "Surgical planning for comitant strabismus focuses on the primary deviation measurement." — Surgical consultation report

Also known as

nonparalytic strabismus

Contrasted with

incomitant strabismus paralytic strabismus

Don't confuse with

incomitant strabismus accommodative strabismus

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