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Surgical trauma to the vertical muscles (e.g. during scleral buckling surgery or cataract surgery causing iatrogenic trauma to the vertical muscles). Sudden onset hypertropia in a middle aged or elderly adult may be due to compression of the trochlear nerve and mass effect from a tumor, requiring urgent brain imaging using MRI to localise any ...
The effort to correct eye misalignment causes eye strain, leading to a range of symptoms that complicate diagnosis and treatment. Symptoms can mimic those of chronic fatigue or motion sickness, making VH difficult to recognize and diagnose due to its broad symptom spectrum and lack of widespread recognition.
Fixation disparity is a tendency of the eyes to drift in the direction of the heterophoria.While the heterophoria refers to a fusion-free vergence state, the fixation disparity refers to a small misalignment of the visual axes when both eyes are open in an observer with normal fusion and binocular vision. [1]
Strabismus is an eye disorder in which the eyes do not properly align with each other when looking at an object. [2] The eye that is pointed at an object can alternate. [3] The condition may be present occasionally or constantly. [3] If present during a large part of childhood, it may result in amblyopia, or lazy eyes, and loss of depth ...
Skew deviation is an unusual ocular deviation , wherein the eyes move upward (hypertropia) in opposite directions. Skew deviation is caused by abnormal prenuclear vestibular input to the ocular motor nuclei, most commonly due to brainstem or cerebellar stroke. Other causes include multiple sclerosis and head trauma.
This acts to 'weaken' its action and allow the eye to move back into a more neutral alignment. [6] In all cases of congenital fourth nerve palsy, it is important to see an experienced strabismologist about management/treatment options. A strabismologist is an ophthalmologist (eye doctor) specialising in eye movement disorders.
In most cases, the gaze palsy can simply be seen by inability to move both eyes in one direction. However, sometimes a patient exhibits an abduction nystagmus in both eyes, indicating evidence of a conjugate gaze palsy. [12] A nystagmus is a back and forth "jerk" of the eye when attempting to hold a gaze in one direction. [13]
Parinaud's syndrome is a cluster of abnormalities of eye movement and pupil dysfunction, characterized by: Paralysis of upwards gaze: Downward gaze is usually preserved. This vertical palsy is supranuclear, so doll's head maneuver should elevate the eyes, but eventually all upward gaze mechanisms fail. In the extreme form, conjugate down gaze ...