Abstract Heterotopia may be defined as a position other than the usual. The occurrence of small variations of the position of the macula in relation to the pupillary axis of the eye is evidenced by the variability of the angle K. If the macula is markedly displaced, an appearance of tropia may be simulated, or the apparent deviation in the case of a true tropia will be modified. Rados and Scholz1 recently reviewed the literature on this subject. They summarized a total of 19 cases for which they felt the information presented was sufficient for inclusion in their review, and added 8 more cases of their own, making a total of 27 cases reported thus far. Within one year of reading this paper, six additional cases have come to our attention. A study of these cases adds to our knowledge regarding both the possible etiologies of this fascinating condition and References 1. American Optical Co. 2. Rados, W. T., and Scholz, R. O.: Pseudostrabismus with Heterotopia of the Macula , Am. J. Ophth. 45:683-691, 1958. 3. Payne, I. W., and Crick, R. P.: Ectopia of the Macula , Brit. J. Ophth. 40:492-496, 1956.Crossref 4. Owens, W. C.: Spontaneous Regression in Retrolental Fibroplasia , Tr. Am. Ophth. Soc. 51:555-579, 1953. 5. Fuchs, E.: Über Verziehung der Netzhaut und Papille , Arch. Ophth. 104:230-246, 1921. 6. Lange, O.: Ein Insertionanomalie des Nervus opticus , Arch. Ophth. 51:342-346, 1900. 7. Beselin, O.: Scheinbäres Höhenschielen von Nurbiger Verziehung der Fovea nach Ober , Klin. Monatsbl. Augenh. 73:691-695, 1924. 8. Blaxter, P. L.: Apparent Hypertropia Due to Ectopia of the Macula , Tr. Ophth. Soc. U. Kingdom 71:231-234, 1951. 9. Derzhavin, V.: Fall von angeborer Lage der Sehnervenpapille , Jahresb. ü.d. ges. Ophth. 27:244, 1897. 10. Kreuger, A.: Angeborene Anomale der topographischen Verhältnis am hinteren Augenpole , Ztschr. Augenh. 30:21-24, 1913. 11. Triebenstein, O.: Über Heterotopie des Sehnervens und der Fovea centralis , Klin. Monatsbl. Augenh. 62:442-455, 1919. 12. Bielchowsky, A.: Ein ungewöhnlicher Fall von vertikaler Heterotopie der Makula , Klin. Monatsbl. Augenh. 84:755-759, 1930. 13. Foulds, W. S.: Post-Inflammatory Ectopia of the Macula Resulting in Apparent Hypertropia , Brit. J. Ophth. 40:571-573, 1956.Crossref 14. Friedman, B.: Unusual Disciform Retinal Lesion with Heterotopic Macula , Arch. Ophth. 28:444-448, 1942.Crossref 15. Horwich, H., and Linfesty, J. W.: Pseudostrabismus Caused by Heterotopia of the Macula , A.M.A. Arch. Ophth. 56:199-206, 1956. 16. Ellis, cited by Payne and Crick.2 17. Trevor-Roper, P. D.: Ectopia Macula from Retinal Bands , Tr. Ophth. Soc. U. Kingdom 72:671, 1952. 18. Bernhard, P.: Ein Fall von Abnormer Lage der Macula Lutea und Partiellem Colobom den Chorioidea , Arch. Augenh. 37:51-57, 1898. 19. Adam, M.: Demonstration , in Tr. Berlin Ophth. Soc., Centralbl. f. prakt. Augenh. 36:268, 1912. 20. Cohen, I. J., and Weissberg, H.: Vertical Heterotopia of the Macula , Arch. Ophth. 44:419-423, 1950.Crossref 21. Barber, cited by Horwich and Linfesty.14 22. Mann, I.: Developmental Abnormalities of the Eye , Ed. 2, Philadelphia, J. B. Lippincott Company, 1957. 23. Hugonnier, R., and Royer, J.: Pseudo-Strabisme divergent par ectopie de la macula , Ann. ocul. 191:847, 1958.
A.M.A. Archives of Ophthalmology – American Medical Association
Published: Jan 1, 1960
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