Posterior canal predominance in bilateral skew deviation

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Three dimensions of skew deviation.

S kew means set, placed, or running obliquely; slanting. For a century, skew deviation has been the descriptive term for an acquired vertical deviation that slants the interpupillary axis to an oblique orientation. 3 This condition has traditionally connoted a severe and debilitating neurological injury within the posterior fossa. Subsequent investigation has refined our understanding of this d...

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Different types of skew deviation.

Although all manifest skew deviations appear the same for the clinician, skew deviation can result from different combinations of dysconjugate vertical ocular deviations. Evidence is presented for three different types of skew deviation when it occurs as a feature of an ocular tilt reaction. In type 1 (utricle) there is upward deviation of both eyes with different amplitudes, as described for o...

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Skew deviation and retinal photography.

A 50-year-old man was admitted for the acute onset of vertical diplopia worse on left gaze. The right eye appeared hypertropic. Either right fourth nerve palsy or skew deviation was possible.1,2 Nonmydriatic retinal photography revealed an excyclotorsion of the hypotropic eye associated with incyclotorsion of the hypertropic eye (figure 1, A and B) providing a key element for skew deviation. In...

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Static ocular counterroll reflex in skew deviation.

OBJECTIVE The static ocular counterroll (OCR) reflex generates partially compensatory torsional eye movements during head roll. It is mediated by the utricle in the inner ear. Skew deviation is a vertical strabismus thought to be caused by imbalance in the utriculo-ocular pathway. We hypothesized that if skew deviation is indeed caused by damage to this reflex pathway, patients with skew deviat...

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ژورنال

عنوان ژورنال: British Journal of Ophthalmology

سال: 2001

ISSN: 0007-1161

DOI: 10.1136/bjo.85.11.1394c