SlideShare a Scribd company logo
1 of 67
REVIEW OF STRABISMUS
Incidence of Strabismus ,[object Object],[object Object],[object Object],[object Object],[object Object]
Parental influence ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Comitant Strabismus ,[object Object],[object Object],[object Object],[object Object]
Infantile esotropia :  ,[object Object],[object Object],[object Object]
Esotropia of late onset ,[object Object],[object Object],[object Object],[object Object],[object Object]
Exodeviations  ,[object Object],[object Object],[object Object]
Microtropia ,[object Object],[object Object],[object Object]
Treatment of comitant strabismus ,[object Object],[object Object],[object Object],[object Object]
Incomitant Strabismus ,[object Object],[object Object]
Myogenic types ,[object Object],[object Object],[object Object],[object Object]
Neurogenic types ,[object Object],[object Object],[object Object]
Treatment of Incomitant Strabismus ,[object Object],[object Object],[object Object],[object Object]
The role of accommodation and refraction in comitant strabismus ,[object Object],[object Object],[object Object],[object Object]
General Pathophysiology of Strabismus ,[object Object],[object Object],[object Object],[object Object],[object Object]
Abnormalities of the fusion mechanism ,[object Object],[object Object],[object Object]
Brain Damage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neuromuscular Anomalies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reflexological theories ,[object Object],[object Object],[object Object]
[object Object],[object Object],Esotropia
Motor Factors related to Strabismus ,[object Object]
Mechanical factors in the orbit ,[object Object],[object Object],[object Object]
Mechanical factors in the orbit
Extra-Ocular Muscles (EOM) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Brain Stem Control of Eye Movements ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object]
Strabismus – Treatment  ,[object Object],[object Object],[object Object],[object Object]
Surgery ,[object Object],[object Object],[object Object],[object Object]
2 main goals when surgery is performed ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Timing of Surgery
Infantile strabismus ,[object Object],[object Object]
Acquired Childhood Strabismus ,[object Object],[object Object]
Acquired adult strabismus ,[object Object],[object Object],[object Object],[object Object]
Non-Surgical Treatment
Pharmocological Treatment
Miotics  ,[object Object],[object Object],[object Object]
Diagnostic Trial : ,[object Object],[object Object],[object Object]
Therapy  ,[object Object],[object Object]
Atropine ,[object Object],[object Object],[object Object]
Botulinum A Toxin ,[object Object],[object Object],[object Object],[object Object],[object Object]
Optical Correction
Refractive Correction ,[object Object],[object Object],[object Object],[object Object]
Manipulation of the AC/A ratio using modified presentation ,[object Object],[object Object],[object Object]
Bifocals ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
To calculate add lens power a theoretical estimate can be made by measuring the AC/A ratio ,[object Object],[object Object],[object Object]
Prismatic Correction ,[object Object],[object Object]
Fixation Disparity ,[object Object],[object Object],[object Object]
Orthoptic Therapy ,[object Object],[object Object],[object Object]
Three basic elements can be trained ,[object Object],[object Object],[object Object]
Techniques used in orthoptic therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Free Space Techniques
Free Space Techniques
 
 
Fusional reserve exercises ,[object Object],[object Object],[object Object]
Free-space techniques ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Near to far tracking ,[object Object],[object Object]
Step Vergence ,[object Object],[object Object],[object Object],[object Object]
Sliding vergence ,[object Object],[object Object]
Near to far jumps ,[object Object],[object Object]
Facility Training ,[object Object],[object Object],[object Object],[object Object]
Training Accommodation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Norms for Accommodation Facility ,[object Object]
Symptoms ,[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview of Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Non-surgical management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

Retinoscopy/ Objective Refraction / Retinoscopy of eye (Principle & Techniqu...
Retinoscopy/ Objective Refraction / Retinoscopy of eye  (Principle & Techniqu...Retinoscopy/ Objective Refraction / Retinoscopy of eye  (Principle & Techniqu...
Retinoscopy/ Objective Refraction / Retinoscopy of eye (Principle & Techniqu...
Bikash Sapkota
 
Diagnosis evaluation in strabismus
Diagnosis evaluation in strabismusDiagnosis evaluation in strabismus
Diagnosis evaluation in strabismus
Jayarajini
 

What's hot (20)

Tinted lenses
Tinted lensesTinted lenses
Tinted lenses
 
Retinoscopy/ Objective Refraction / Retinoscopy of eye (Principle & Techniqu...
Retinoscopy/ Objective Refraction / Retinoscopy of eye  (Principle & Techniqu...Retinoscopy/ Objective Refraction / Retinoscopy of eye  (Principle & Techniqu...
Retinoscopy/ Objective Refraction / Retinoscopy of eye (Principle & Techniqu...
 
Accommodation and convergence
Accommodation and convergenceAccommodation and convergence
Accommodation and convergence
 
Low vision rehabilitation
Low vision rehabilitationLow vision rehabilitation
Low vision rehabilitation
 
Visual function assessment in low vision
Visual function assessment in low visionVisual function assessment in low vision
Visual function assessment in low vision
 
Diplopia charting
Diplopia chartingDiplopia charting
Diplopia charting
 
Presbyopic Contact Lenses: Bifocals and Multifocals
Presbyopic Contact Lenses: Bifocals and MultifocalsPresbyopic Contact Lenses: Bifocals and Multifocals
Presbyopic Contact Lenses: Bifocals and Multifocals
 
Dynamic retinoscopy
Dynamic retinoscopy Dynamic retinoscopy
Dynamic retinoscopy
 
Measuring interpupillary distance
Measuring interpupillary distanceMeasuring interpupillary distance
Measuring interpupillary distance
 
RGP Fitting
RGP Fitting RGP Fitting
RGP Fitting
 
Soft Toric Contact lens
Soft Toric Contact lensSoft Toric Contact lens
Soft Toric Contact lens
 
Diagnosis evaluation in strabismus
Diagnosis evaluation in strabismusDiagnosis evaluation in strabismus
Diagnosis evaluation in strabismus
 
Amsler grid
Amsler gridAmsler grid
Amsler grid
 
Orthoptic evaluation 1
Orthoptic evaluation 1Orthoptic evaluation 1
Orthoptic evaluation 1
 
Maddox rod and double maddox rod
Maddox rod and double maddox rodMaddox rod and double maddox rod
Maddox rod and double maddox rod
 
JCC -Jackson Cross Cylinder
JCC -Jackson Cross CylinderJCC -Jackson Cross Cylinder
JCC -Jackson Cross Cylinder
 
Contact lens fitting in keratoconus copy
Contact lens fitting in keratoconus   copyContact lens fitting in keratoconus   copy
Contact lens fitting in keratoconus copy
 
Soft toric Contact Lens
Soft toric Contact LensSoft toric Contact Lens
Soft toric Contact Lens
 
Objective refraction
Objective refractionObjective refraction
Objective refraction
 
Vergences of the eye
Vergences of the eyeVergences of the eye
Vergences of the eye
 

Viewers also liked

Squint assessment
Squint assessmentSquint assessment
Squint assessment
siraj safi
 
Sensory & motor evaluation of strabismus
Sensory & motor evaluation of strabismusSensory & motor evaluation of strabismus
Sensory & motor evaluation of strabismus
Devdutta Nayak
 
Non surgical management of strabismus .ppt
Non surgical management of strabismus .pptNon surgical management of strabismus .ppt
Non surgical management of strabismus .ppt
Hossein Mirzaie
 
Sensory Adaptation to Strabismus
Sensory Adaptation to StrabismusSensory Adaptation to Strabismus
Sensory Adaptation to Strabismus
Hossein Mirzaie
 

Viewers also liked (20)

Strabismus
Strabismus Strabismus
Strabismus
 
Strabismus
StrabismusStrabismus
Strabismus
 
Strabismus
StrabismusStrabismus
Strabismus
 
Classification of squint
Classification of squintClassification of squint
Classification of squint
 
Strabismus-Clinical Examinations
Strabismus-Clinical ExaminationsStrabismus-Clinical Examinations
Strabismus-Clinical Examinations
 
Strabismus
StrabismusStrabismus
Strabismus
 
By pd examination of a squint
By pd examination of a squintBy pd examination of a squint
By pd examination of a squint
 
Evaluation of squint
Evaluation of squint Evaluation of squint
Evaluation of squint
 
Squint assessment
Squint assessmentSquint assessment
Squint assessment
 
Sensory & motor evaluation of strabismus
Sensory & motor evaluation of strabismusSensory & motor evaluation of strabismus
Sensory & motor evaluation of strabismus
 
A-V pattern strabismus
A-V pattern strabismusA-V pattern strabismus
A-V pattern strabismus
 
Non surgical management of strabismus .ppt
Non surgical management of strabismus .pptNon surgical management of strabismus .ppt
Non surgical management of strabismus .ppt
 
Sensory Adaptation to Strabismus
Sensory Adaptation to StrabismusSensory Adaptation to Strabismus
Sensory Adaptation to Strabismus
 
managment of strabismus
managment of strabismusmanagment of strabismus
managment of strabismus
 
Squint/Strabismus
Squint/StrabismusSquint/Strabismus
Squint/Strabismus
 
Assesssment of strabismus
Assesssment of strabismusAssesssment of strabismus
Assesssment of strabismus
 
Principles of strabismus surgery
Principles of strabismus surgeryPrinciples of strabismus surgery
Principles of strabismus surgery
 
Gede Pardianto - Strabismus, binocular vision, 3D vision and visual illusion
Gede Pardianto - Strabismus, binocular vision, 3D vision and visual illusionGede Pardianto - Strabismus, binocular vision, 3D vision and visual illusion
Gede Pardianto - Strabismus, binocular vision, 3D vision and visual illusion
 
concomitant strabismus
concomitant strabismusconcomitant strabismus
concomitant strabismus
 
Squint
SquintSquint
Squint
 

Similar to REVIEW OF STRABISMUS

Myasthenia gravis guest_lecture[1]
Myasthenia gravis guest_lecture[1]Myasthenia gravis guest_lecture[1]
Myasthenia gravis guest_lecture[1]
Gainuta
 

Similar to REVIEW OF STRABISMUS (20)

Myasthenia gravis guest_lecture[1]
Myasthenia gravis guest_lecture[1]Myasthenia gravis guest_lecture[1]
Myasthenia gravis guest_lecture[1]
 
Strabismus stdents 2
Strabismus stdents 2Strabismus stdents 2
Strabismus stdents 2
 
Congenital cataract
Congenital cataractCongenital cataract
Congenital cataract
 
Nystagmus
NystagmusNystagmus
Nystagmus
 
An approach to a case of ptosis
An approach to a  case of ptosisAn approach to a  case of ptosis
An approach to a case of ptosis
 
The Binocular Vision Dysfuction Pandemic
The Binocular Vision Dysfuction PandemicThe Binocular Vision Dysfuction Pandemic
The Binocular Vision Dysfuction Pandemic
 
Congenital glaucoma
Congenital glaucomaCongenital glaucoma
Congenital glaucoma
 
Blepharophimosis
BlepharophimosisBlepharophimosis
Blepharophimosis
 
Childhood gaucoma 2
Childhood gaucoma 2Childhood gaucoma 2
Childhood gaucoma 2
 
Neurology 8th multiple sclerosis
Neurology 8th multiple sclerosisNeurology 8th multiple sclerosis
Neurology 8th multiple sclerosis
 
Squint 4th grade
Squint 4th gradeSquint 4th grade
Squint 4th grade
 
Cerebral palsy management
Cerebral palsy managementCerebral palsy management
Cerebral palsy management
 
Introduction to Neuro-ophthalmology
Introduction to Neuro-ophthalmologyIntroduction to Neuro-ophthalmology
Introduction to Neuro-ophthalmology
 
Optic neuritis
Optic neuritisOptic neuritis
Optic neuritis
 
Neurogenic Conditions
Neurogenic ConditionsNeurogenic Conditions
Neurogenic Conditions
 
Non- Accommodative Convergent Squint
Non- Accommodative Convergent SquintNon- Accommodative Convergent Squint
Non- Accommodative Convergent Squint
 
Case presentation 2 : Duane's Syndrome
Case presentation 2 : Duane's Syndrome Case presentation 2 : Duane's Syndrome
Case presentation 2 : Duane's Syndrome
 
Orbital Apex Syndrome
Orbital Apex SyndromeOrbital Apex Syndrome
Orbital Apex Syndrome
 
Myopia Control
Myopia Control Myopia Control
Myopia Control
 
Myasthenia Gravis - Pathophysiology, Cl. Features, DD
Myasthenia Gravis - Pathophysiology, Cl. Features, DDMyasthenia Gravis - Pathophysiology, Cl. Features, DD
Myasthenia Gravis - Pathophysiology, Cl. Features, DD
 

More from Hossein Mirzaie (20)

Marketing an optometric practice
Marketing an optometric practiceMarketing an optometric practice
Marketing an optometric practice
 
Mba monograph13 0412_marketinganoptometricpractice
Mba monograph13 0412_marketinganoptometricpracticeMba monograph13 0412_marketinganoptometricpractice
Mba monograph13 0412_marketinganoptometricpractice
 
Presbyopia
PresbyopiaPresbyopia
Presbyopia
 
Goldman applanation tonometry
 Goldman applanation tonometry Goldman applanation tonometry
Goldman applanation tonometry
 
Myopia
MyopiaMyopia
Myopia
 
keratometry
 keratometry keratometry
keratometry
 
Funduscopy
Funduscopy Funduscopy
Funduscopy
 
Optometry, a focus on vision
Optometry, a focus on visionOptometry, a focus on vision
Optometry, a focus on vision
 
Astigmatism 2
Astigmatism 2Astigmatism 2
Astigmatism 2
 
Spectacle prescription fulfillment in medical optometry cope approved
Spectacle prescription fulfillment in medical optometry cope approvedSpectacle prescription fulfillment in medical optometry cope approved
Spectacle prescription fulfillment in medical optometry cope approved
 
Biometry
BiometryBiometry
Biometry
 
Contact Lens-Induced Acute Red Eye(CLARE)
Contact Lens-Induced Acute Red Eye(CLARE)Contact Lens-Induced Acute Red Eye(CLARE)
Contact Lens-Induced Acute Red Eye(CLARE)
 
Primetry
PrimetryPrimetry
Primetry
 
Blepharitis
BlepharitisBlepharitis
Blepharitis
 
Amblyopia treatment dr mirzajani
Amblyopia treatment dr mirzajaniAmblyopia treatment dr mirzajani
Amblyopia treatment dr mirzajani
 
optometric prescription
optometric prescriptionoptometric prescription
optometric prescription
 
Peripheral refraction in myopia
Peripheral refraction in myopiaPeripheral refraction in myopia
Peripheral refraction in myopia
 
Intermittent exotropia
Intermittent exotropiaIntermittent exotropia
Intermittent exotropia
 
Auto perimetry
Auto perimetryAuto perimetry
Auto perimetry
 
Toric rgp fit
Toric rgp fitToric rgp fit
Toric rgp fit
 

Recently uploaded

Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Dipal Arora
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
perfect solution
 

Recently uploaded (20)

Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
 
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
 
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
College Call Girls in Haridwar 9667172968 Short 4000 Night 10000 Best call gi...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 

REVIEW OF STRABISMUS