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      Clinical characteristics of cyclodeviation

      Author(s): , ,
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      Journal: Eye
      Publisher: Springer Nature

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          Abstract

          To retrospectively evaluate the incidence of cyclodeviation among patients with diplopia and analyse the causative diseases and clinical manifestations of cyclodeviation.

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          Most cited references6

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          Acquired palsy of the oculomotor, trochlear and abducens nerves.

          P A Tiffin, C MacEwen, E Craig … (1996)
          There have been few studies primarily concerned with the relative frequencies, aetiologies and prognoses of ocular motor palsies. Those published have emanated largely from neurological tertiary referral centres rather than primary ophthalmology departments. We have performed a retrospective study of all patients with acquired III, IV or VI cranial nerve palsy who were seen in the orthoptic department at Ninewells Hospital, Dundee, over the 9 year period from 1984 to 1992. A total of 165 cases were identified. VI nerve palsies accounted for the majority of patients (57%), with IV nerve palsies (21%) occurring more frequently than III nerve palsies (17%) and multiple palsies (5%). Thirty-five per cent of cases were of unknown aetiology and 32% of vascular aetiology. The incidence of sinister pathology-neoplasia (2%) and aneurysm (1%)-was surprisingly low. Fifty-seven per cent of all patients made a total recovery (in a median time of 3 months) and 80% made at least a partial recovery. The results are contrasted with those of previous studies and the value of associated symptoms and of further investigation in the assessment of these patients is discussed.
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            Paralysis of Cranial Nerves III, IV, and VI

            James Rush (1981)
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              Clinical observations in cyclodeviations.

              Albert E G K von dem Borne (1979)
              Cyclodeviations differ from other strabismus forms in several aspects. Adaptive mechanisms other than suppression cause the patient to remain asymptomatic in spite of ophthalmoscopically demonstrable torsion of the globe around the sagittal axis. These mechanisms include cyclofusion and a monocular sensory adaptation causing the images seen by the paretic eye to appear vertically and horizontally aligned even though they do not fall on the vertical and horizontal anatomic-geometric retinal meridians. Pure excyclotropias, ie, those not associated with vertical deviations, respond well to anterior and lateral displacement of the anterior portion of the superior oblique tendon. The operation eliminated the cyclodeviation in four eyes (three patients); however, a partial recurrence was observed in one case.
              Article 0 comments Cited 8 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Title: Eye
                Abbreviated Title: Eye
                Publisher: Springer Nature
                ISSN (Print): 0950-222X
                ISSN (Electronic): 1476-5454
                Publication date Created: February 25 2005
                Publication date (Print): February 25 2005
                Volume: 19
                Issue: 8
                Pages: 873-878
                Article
                DOI: 10.1038/sj.eye.6701675
                PubMed ID: 15731772
                SO-VID: fdba977f-1472-49a3-bd17-9237ccfdc7cb
                Copyright © © 2005
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