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The Official Scientific Journal of Delhi Ophthalmological Society
Monocular Elevation Deficit-Simplified
Apurva Goray, Kamlesh, Shweta Dhiman, Prolima Thacker, Yashpal Goel, Babita, Anju Rastogi, Manisha Mishra
Guru Nana Eye Centre, Maulana Azad Medical College,
Maharaja Ranjit SIngh Marg, New Delhi, India
Corresponding Author:
Prolima Thacker
Guru Nanak Eye Centre,
Maulana Azad Medical College,
Maharaja Ranjit Singh Marg, New Delhi
Email: dr.prolima@gmail.com
Received: 18-MAY-2015 Accepted: 28-MAY-2015 Published Online: 23-JUN-2015
DOI: http://dx.doi.org/10.7869/djo.127
Abstract
Managing hypotropia is a challenge for strabismologists. Monocular Elevation Deficit (MED) is one of the causes of hypotropia seen frequently by a stabismologist. Co-existence of horizontal deviations, ptosis, amblyopia, Dissociated Vertical Deviation(DVD) make the management of MED difficult. Even for the correction of hypotropia, there are different surgical techniques, which reflect the variety of causative mechanisms. After reviewing available literature, we have attempted to simplify this complex entity in terms of its pathogenesis, presentation, differential diagnosis and finally, appropriate management. 
Keywords : hypotropia, elevation deficit, knapp’s surgery, inferior rectus recession
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