The Frequency and Causes of Abnormal Head Position Based on an Ophthalmology Clinic's Findings: Is it Overlooked?

Turan, Kadriye Erkan; Şekeroğlu, Hande Taylan; Koç, İrem; Kılıç, Meltem; Sanaç, Ali Şefik

doi:10.5301/ejo.5000908

Cited by 17 publications

(17 citation statements)

References 8 publications

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“…The AHP is not observed and the head bending test is negative in the majority of primary IOOA, in contrast to vertical deviations due to other etiologies, since the primary IOOA does not have cyclodeviation. 7 We also found AHP in 62% of group 2 cases consistent with the literature. There are many procedures defined for IOOA management.…”

Section: Discussionsupporting

confidence: 91%

Vertikal Kaymalarda Orta Dönem Şaşılık Cerrahisi Sonuçlarımız

Gürsoy¹,

Çakmak²,

Özalp³

et al. 2019

Osmangazi̇ Journal of Medicine

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The evaluation of cases operated for vertical deviation. Materials and Methods: Cases operated between January 2015 and June 2016 and followed-up for at least 1 year were evaluated. Pre and postoperative angle of deviations (PD), inferior oblique muscle (IO) functions, refractive errors, etiologies and surgeries performed were noted. Success was defined as alignment with 10 PD of orthophoria and/or inferior oblique overaction (IOOA) ≤+1 at the final examination. 32 out of 172 cases, surgery due to vertical deviation was performed. Primary IOOA cases (group 1; n=19; 15 was associated with esotropia, 4 with exotropia) were compared with cases (group 2; n=13) due to other etiologies [3 Duane retraction syndrome (DRS) type 3, 4 fourth nerve palsy, 4 dissociated vertical deviation (DVD), and double elevator palsy (DEP)]. IO recession was performed in all primary IOOA and fourth nerve palsy. Y-split and lateral rectus recession was performed in DRS, superior rectus recession in DVD, and inferior rectus recession in DEP. Right spherical equivalent (SE) (D) was 1.5 (0.75-2.5) in group 1 and 0.5 (-0.625-0.875) in group 2 (p=0.014). Left SE (D) was 1.5 (0.75-2.5) in group 1 and 0.5 (0.125-1) in group 2 (p=0.024). IOOA decreased from 3.16±0.60 to 0.89±0.81 postoperatively in group 1 cases (p<0.01). The upshoot regressed in 3 DRS type 3 cases postoperatively. Successful outcome was obtained in 16 cases in group 1 (84%) and 11 cases in group 2 (84%). Satisfactory outcome is possible by case-by-case approach in various vertical deviations.

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Section: Discussionsupporting

confidence: 91%

Vertikal Kaymalarda Orta Dönem Şaşılık Cerrahisi Sonuçlarımız

Gürsoy¹,

Çakmak²,

Özalp³

et al. 2019

Osmangazi̇ Journal of Medicine

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“…Some authors justify the relationship between visual and neck dysfunction, explaining that a subject who has an accommodative dysfunction presents unstable vision, so they tend to adapt the head to achieve greater visual comfort, which forces them to adopt abnormal neck postures to compensate. A modification in the posture of the neck leads to an abnormal posture of the head in an attempt to maintain binocularity and optimize visual acuity, which can cause musculoskeletal problems, resulting in neck pain. This postural adaptation would be good for improving vision, but it would lead to joint and muscular dysfunctions in the neck, thus giving rise to a cervical pathology if maintained over time.…”

Section: Discussionmentioning

confidence: 99%

Is it possible to relate accommodative visual dysfunctions to neck pain?

Sánchez-González

Pérez-Cabezas

López-Izquierdo

et al. 2018

Annals of the New York Academy of Sciences

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The aim of this study was to establish whether there is a relationship between conditions of accommodative visual dysfunctions and cervical complaints. Fifty-two participants were included. Variables were accommodative amplitude, positive and negative relative accommodation (NRA), accommodative response, and accommodative facility. Subjects were classified as accommodative insufficiency, accommodative excess, or normal. Neck complaints were measured with the Neck Disability Index, the Visual Analogue Scale, and by cervical range of motion, deep flexor muscle activation score, and performance index. We found the following significant relationships: between NRA and both performance index and left-side bending; accommodative amplitude right-eye with right-side bending and with left-side bending; accommodative amplitude left-eye with right-side bending; and accommodative facility left-eye with both performance index and left-side bending. In accommodative amplitude right-eye, aIl participants showed significant values and greater than those with accommodative excess. In both groups, performance index values were decreased. Greater pain and lower right-rotation were found in participants with accommodative excess than in those with accommodative insufficiency. We conclude that accommodative dysfunctions are related to low performance index, decreased range of motion, as well as greater neck pain.

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“…Despite the good prognosis, it is necessary to be alert to the presence of abnormal head position, which is probably underdiagnosed [35], and had a significant prevalence in our population.…”

Section: Discussionmentioning

confidence: 95%

Natural History and Treatment of Brown’s Syndrome: Long-Term Experience

Rodrigues¹,

Seldon²,

Varandas³

et al. 2018

OJOph

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Purpose: Brown's Syndrome (BS) is a restrictive strabismus characterized by a limitation of elevation in adduction. Several etiologies have been described, usually involving the superior oblique muscle. Spontaneous improvement has been reported in several studies, so surgery is reserved for a minority of cases. Our purpose is to review the characteristics, natural history and treatment of this pathology and present the experience of the Instituto de Oftalmologia Dr. Gama Pinto (IOGP). Methods: A consecutive retrospective series of BS patients seen at the Strabismus Department of IOGP between 1983 and 2014 was reviewed. All patients with complete clinical data were included in this study. The epidemiologic characteristics, clinical features, treatment, and clinical progression were reviewed. Results: Thirty-nine cases were selected, with a mean age at first diagnosis of 6.5 years. Of the thirty-nine cases, 6 were iatrogenic and the remainder idiopathic. Thirty-six cases were followed for a mean period of 6.1 years. Surgical intervention for BS was performed in 11 patients, using different approaches. Of these, 9 cases were considered successful. The remaining 25 cases were kept under observation without surgery, of which 17 showed spontaneous improvement and the other 7 remained unchanged. Conclusions: The surgical success rate was 82%, which demonstrates the good efficacy of the surgery despite the complexity and variety of pathophysiological mechanisms of the syndrome. In the patients kept under observation there was spontaneous improvement in 68%, confirming that a conservative approach seems to be adequate in most cases.

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The Frequency and Causes of Abnormal Head Position Based on an Ophthalmology Clinic's Findings: Is it Overlooked?

Cited by 17 publications

References 8 publications

Vertikal Kaymalarda Orta Dönem Şaşılık Cerrahisi Sonuçlarımız

Vertikal Kaymalarda Orta Dönem Şaşılık Cerrahisi Sonuçlarımız

Is it possible to relate accommodative visual dysfunctions to neck pain?

Natural History and Treatment of Brown’s Syndrome: Long-Term Experience

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