Michael C Brodsky1, Jonathan M Holmes. 1. Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota 55905, USA. brodsky.michael@mayo.edu
Abstract
PURPOSE: We describe a new surgical treatment for lateropulsion and torticollis arising from an ocular tilt reaction. METHODS: Visual sensory parameters and postural abnormalities were retrospectively reviewed in a patient with a partial ocular tilt reaction who was treated with horizontal transposition of the vertical rectus muscles to surgically augment preexisting binocular torsion. RESULTS: Torsional augmentation eliminated the sensation of lateropulsion and produced almost complete resolution of her torticollis and associated body tilt. CONCLUSIONS: Binocular torsional augmentation can be used to reduce both lateropulsion and torticollis in the setting of an ocular tilt reaction.
PURPOSE: We describe a new surgical treatment for lateropulsion and torticollis arising from an ocular tilt reaction. METHODS:Visual sensory parameters and postural abnormalities were retrospectively reviewed in a patient with a partial ocular tilt reaction who was treated with horizontal transposition of the vertical rectus muscles to surgically augment preexisting binocular torsion. RESULTS: Torsional augmentation eliminated the sensation of lateropulsion and produced almost complete resolution of her torticollis and associated body tilt. CONCLUSIONS: Binocular torsional augmentation can be used to reduce both lateropulsion and torticollis in the setting of an ocular tilt reaction.