Tonic Ocular Tilt Reaction Simulating a Superior Oblique Palsy
نویسندگان
چکیده
منابع مشابه
Tonic ocular tilt reaction simulating a superior oblique palsy: diagnostic confusion with the 3-step test.
BACKGROUND The tonic ocular tilt reaction (OTR) consists of vertical divergence of the eyes (skew deviation), bilateral conjugate ocular torsion, and paradoxical head tilt. The head and superior pole of both eyes are rotated toward the hypotropic eye. OBJECTIVE To describe ocular motility and torsion findings in 5 patients with OTRs that mimicked superior oblique palsies (SOPs). RESULTS In ...
متن کاملThe influence of head tilt on ocular torsion in patients with superior oblique muscle palsy.
INTRODUCTION Patients with superior oblique muscle palsy often assume a compensatory head tilt to the contralateral side of the affected eye. This tilt serves to decrease the hypertropia and, in theory, might decrease the excyclotropia. METHODS A prospective investigation was undertaken of the effect of forced head tilt to the right and left on torsion and the hypertropia in patients with uni...
متن کاملParadoxical head tilt in unilateral traumatic superior oblique palsy
PURPOSE We report a patient with abnormal head posture following ocular blunt trauma. METHODS This is report of a case that despite findings compatible with diagnosis of left superior oblique (SO) palsy, the patient acquired an ipsilateral (left) head tilt. The interesting observation in our patient was reduction of left hypertropia and consequent less diplopia with ipsilateral head tilt. R...
متن کاملBielschowsky head-tilt test--I. Ocular counterrolling and Bielschowsky head-tilt test in 23 cases of superior oblique palsy.
We have measured the amplitude of ocular counterrolling (OCR) and the change in vertical deviation in the Bielschowsky head-tilt test (BHT) in 23 cases of unilateral superior oblique palsy. OCR was measured with a photographical method, using limbal, conjunctival vessels as landmarks. Average OCR of the healthy eye was 5.4 +/- 2.4 (SD) deg either side, at 45 deg of body-tilt. BHT and OCR (of th...
متن کاملSuperior Rectus Muscle Recession for Residual Head Tilt after Inferior Oblique Muscle Weakening in Superior Oblique Palsy
PURPOSE Residual head tilt has been reported in patients with superior oblique muscle palsy (SOP) after surgery to weaken the inferior oblique (IO) muscle. The treatments for these patients have not received appropriate attention. In this study, we evaluated the superior rectus (SR) muscle recession as a surgical treatment. METHODS The medical records of 12 patients with SOP were retrospectiv...
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ژورنال
عنوان ژورنال: Archives of Ophthalmology
سال: 1999
ISSN: 0003-9950
DOI: 10.1001/archopht.117.3.347