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Cyclodeviation in Acquired Vertical Strabismus

Cyclodeviation in Acquired Vertical Strabismus Abstract • The prevalence and pattern of cyclodeviation can differentiate among superior oblique palsy, dysthyroid ophthalmopathy, nondysthyroid restrictive ophthalmopathy, myasthenia gravis, and skew deviation. Excyclodeviation was detected in 30 of 33 patients with superior oblique palsy, eight of 15 patients with dysthyroid ophthalmopathy, three of six patients with nondysthyroid restrictive ophthalmopathy, and one of 13 patients with myasthenia. No cyclodeviation was found in cases of skew. Incyclodeviation was found in two patients with dysthyroid ophthalmopathy, two with nondysthyroid restrictive ophthalmopathy, and three with myasthenia. The amount of cyclodeviation did not vary between head-tilt positions, but did vary between primary and eccentric gaze positions, usually in the same direction as the amount of hyperdeviation. The patient's awareness of the presence of cyclodeviation varied with the degree of cyclodeviation, being 100% (4/4) for 15°, 86% (12/14) for 10°, and only 55% (11/21) for 5°. References 1. Burian HM, von Noorden G: Binocular Vision and Ocular Motility. St Louis, CV Mosby Co, 1982, p 347. 2. Lyle TK: Torsional diplopia due to cyclotropia and its surgical treatment . Trans Am Acad Ophthalmol Otolaryngol 1964;68:387-411. 3. Chapman LI, Urist MJ, Folk ER, et al: Acquired bilateral superior oblique muscle palsy . Arch Ophthalmol 1970;4:137-142.Crossref 4. Ellis FD, Helveston EM: Superior oblique palsy: Diagnosis and classification . Int Ophthalmol Clin 1976;16:127-135. 5. Sydnor CF, Seaber JH, Brickley EG: Traumatic superior oblique palsies . Ophthalmology 1982;89:134-138.Crossref 6. Mitchell PR, Parks MM: Surgery for bilateral superior oblique palsy . Ophthalmology 1982;89:484-488.Crossref 7. Caygill WM: Excyclotropia in dysthyroid ophthalmopathy . Am J Ophthalmol 1972;73:437-441. 8. Parks MM: Isolated cyclovertical muscle palsy . Arch Ophthalmol 1958;60:1027-1033.Crossref 9. Von Noorden GK, Maumenee AE: Atlas of Strabismus , ed 3. St Louis, CV Mosby Co, 1977, p 56. 10. Leigh JR, Zee DS: The Neurology of Eye Movement . Philadelphia, FA Davis Co, 1983, p 207. 11. Guyton DL, von Noorden GK: Sensory adaptations to cyclodeviations , in Reinecke RD (ed): Strabismus: Proceedings of the Third Meeting of the International Strabismological Association . New York, Grune & Stratton Inc, 1978, p 399. 12. Jampel RS: Ocular torsion and the primary retinal meridians . Am J Ophthalmol 1981;91:14-24. 13. Kertesz AE, Jones RW: Human cyclofusional response . Vision Res 1970;10:891-896.Crossref 14. Kertesz AE: The effects of stimulus complexity on human cyclofusional response . Vision Res 1972;12:699-704.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Cyclodeviation in Acquired Vertical Strabismus

Archives of Ophthalmology , Volume 102 (5) – May 1, 1984

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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1984.01040030573021
Publisher site
See Article on Publisher Site

Abstract

Abstract • The prevalence and pattern of cyclodeviation can differentiate among superior oblique palsy, dysthyroid ophthalmopathy, nondysthyroid restrictive ophthalmopathy, myasthenia gravis, and skew deviation. Excyclodeviation was detected in 30 of 33 patients with superior oblique palsy, eight of 15 patients with dysthyroid ophthalmopathy, three of six patients with nondysthyroid restrictive ophthalmopathy, and one of 13 patients with myasthenia. No cyclodeviation was found in cases of skew. Incyclodeviation was found in two patients with dysthyroid ophthalmopathy, two with nondysthyroid restrictive ophthalmopathy, and three with myasthenia. The amount of cyclodeviation did not vary between head-tilt positions, but did vary between primary and eccentric gaze positions, usually in the same direction as the amount of hyperdeviation. The patient's awareness of the presence of cyclodeviation varied with the degree of cyclodeviation, being 100% (4/4) for 15°, 86% (12/14) for 10°, and only 55% (11/21) for 5°. References 1. Burian HM, von Noorden G: Binocular Vision and Ocular Motility. St Louis, CV Mosby Co, 1982, p 347. 2. Lyle TK: Torsional diplopia due to cyclotropia and its surgical treatment . Trans Am Acad Ophthalmol Otolaryngol 1964;68:387-411. 3. Chapman LI, Urist MJ, Folk ER, et al: Acquired bilateral superior oblique muscle palsy . Arch Ophthalmol 1970;4:137-142.Crossref 4. Ellis FD, Helveston EM: Superior oblique palsy: Diagnosis and classification . Int Ophthalmol Clin 1976;16:127-135. 5. Sydnor CF, Seaber JH, Brickley EG: Traumatic superior oblique palsies . Ophthalmology 1982;89:134-138.Crossref 6. Mitchell PR, Parks MM: Surgery for bilateral superior oblique palsy . Ophthalmology 1982;89:484-488.Crossref 7. Caygill WM: Excyclotropia in dysthyroid ophthalmopathy . Am J Ophthalmol 1972;73:437-441. 8. Parks MM: Isolated cyclovertical muscle palsy . Arch Ophthalmol 1958;60:1027-1033.Crossref 9. Von Noorden GK, Maumenee AE: Atlas of Strabismus , ed 3. St Louis, CV Mosby Co, 1977, p 56. 10. Leigh JR, Zee DS: The Neurology of Eye Movement . Philadelphia, FA Davis Co, 1983, p 207. 11. Guyton DL, von Noorden GK: Sensory adaptations to cyclodeviations , in Reinecke RD (ed): Strabismus: Proceedings of the Third Meeting of the International Strabismological Association . New York, Grune & Stratton Inc, 1978, p 399. 12. Jampel RS: Ocular torsion and the primary retinal meridians . Am J Ophthalmol 1981;91:14-24. 13. Kertesz AE, Jones RW: Human cyclofusional response . Vision Res 1970;10:891-896.Crossref 14. Kertesz AE: The effects of stimulus complexity on human cyclofusional response . Vision Res 1972;12:699-704.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: May 1, 1984

References