U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Vertical incomitant strabismus

MedGen UID:
1642654
•Concept ID:
C4703379
•
Disease or Syndrome
HPO: HP:0020043

Definition

A type of incomitant strabismus in which the angle of deviation varies as the patient's gaze shifts upwards and/or downwards. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVVertical incomitant strabismus

Professional guidelines

PubMed

Differential Diagnosis of Acquired Esotropia in the Elderly.
Roggenkämper B, Neugebauer A, Fricke J, Hedergott AM
Klin Monbl Augenheilkd 2020 Sep;237(9):1107-1116. Epub 2020 Aug 20 doi: 10.1055/a-1186-2029. PMID: 32818999
Diagnosis and surgical management of strabismus associated with thyroid-related orbitopathy.
Flanders M, Hastings M
J Pediatr Ophthalmol Strabismus 1997 Nov-Dec;34(6):333-40. doi: 10.3928/0191-3913-19971101-04. PMID: 9430059
Diagnosis and surgical management of vertically incomitant horizontal strabismus.
Von Noorden GK, Olsen CL
Am J Ophthalmol 1965 Sep;60(3):434-42. doi: 10.1016/0002-9394(65)90707-5. PMID: 5828680

Recent clinical studies

Etiology

Recession-Resection of the Vertical Rectus Muscles for Chin-up Vertical Abnormal Head Position Associated With Infantile Nystagmus Syndrome.
Law JJ, Zheng Y, Donahue SP
J Pediatr Ophthalmol Strabismus 2022 Nov-Dec;59(6):410-415. Epub 2022 Apr 21 doi: 10.3928/01913913-20220216-02. PMID: 35446190
Outcomes of the Harada-Ito Procedure.
Murray C, Marsh I, Newsham D
J Binocul Vis Ocul Motil 2021 Jul-Sep;71(3):97-103. Epub 2021 May 12 doi: 10.1080/2576117X.2021.1915728. PMID: 33979270
Differential Diagnosis of Acquired Esotropia in the Elderly.
Roggenkämper B, Neugebauer A, Fricke J, Hedergott AM
Klin Monbl Augenheilkd 2020 Sep;237(9):1107-1116. Epub 2020 Aug 20 doi: 10.1055/a-1186-2029. PMID: 32818999
Differentiating Acute and Subacute Vertical Strabismus Using Different Head Positions During the Upright-Supine Test.
Lemos J, Subei A, Sousa M, Nunes C, Cunha L, Glisson C, Eggenberger E
JAMA Ophthalmol 2018 Apr 1;136(4):322-328. doi: 10.1001/jamaophthalmol.2017.6796. PMID: 29450486Free PMC Article
Results of anterior transposition of the inferior oblique muscle in incomitant dissociated vertical deviation.
Black BC
J AAPOS 1997 Jun;1(2):83-7. doi: 10.1016/s1091-8531(97)90003-3. PMID: 10875082

Diagnosis

A slippery slope.
Gross AW, Vickers A, Lee AG, Chen JJ, Bhatti MT
Surv Ophthalmol 2019 Nov-Dec;64(6):884-890. Epub 2018 Oct 30 doi: 10.1016/j.survophthal.2018.10.006. PMID: 30385270
Differentiating Acute and Subacute Vertical Strabismus Using Different Head Positions During the Upright-Supine Test.
Lemos J, Subei A, Sousa M, Nunes C, Cunha L, Glisson C, Eggenberger E
JAMA Ophthalmol 2018 Apr 1;136(4):322-328. doi: 10.1001/jamaophthalmol.2017.6796. PMID: 29450486Free PMC Article
Associated incomitance in concomitant strabismus. Diagnosis and surgical treatment.
Roth A, Bumbacher M, Rossillion B
Klin Monbl Augenheilkd 2015 Apr;232(4):459-66. Epub 2015 Apr 22 doi: 10.1055/s-0035-1545785. PMID: 25902098
Comitant strabismus.
de Faber JT, Kingma-Wilschut C, Grootendorst R
Curr Opin Ophthalmol 1999 Oct;10(5):305-9. doi: 10.1097/00055735-199910000-00004. PMID: 10621542
Automated measurement of strabismic deviation.
Schiavi C, Orciuolo M
Curr Opin Ophthalmol 1992 Dec;3(6):731-4. doi: 10.1097/00055735-199212000-00002. PMID: 10147972

Therapy

Surgical management of strabismus following choroidal melanoma plaque brachytherapy.
Alfreihi SH, Pineles SL, McCannel TA, Prada AM, Velez FG
J AAPOS 2017 Aug;21(4):286-290.e2. Epub 2017 Jul 18 doi: 10.1016/j.jaapos.2017.05.030. PMID: 28728906
Acquired strabismus following cosmetic blepharoplasty.
Syniuta LA, Goldberg RA, Thacker NM, Rosenbaum AL
Plast Reconstr Surg 2003 May;111(6):2053-9. doi: 10.1097/01.PRS.0000056840.61348.35. PMID: 12711971
Superior rectus muscle overaction after cataract extraction.
Grimmett MR, Lambert SR
Am J Ophthalmol 1992 Jul 15;114(1):72-80. doi: 10.1016/s0002-9394(14)77415-x. PMID: 1621788

Prognosis

The Clinical and Imaging Profile of Skew Deviation: A Study of 157 Cases.
Walter E, Trobe JD
J Neuroophthalmol 2021 Mar 1;41(1):69-76. doi: 10.1097/WNO.0000000000000915. PMID: 32235234
Differentiating Acute and Subacute Vertical Strabismus Using Different Head Positions During the Upright-Supine Test.
Lemos J, Subei A, Sousa M, Nunes C, Cunha L, Glisson C, Eggenberger E
JAMA Ophthalmol 2018 Apr 1;136(4):322-328. doi: 10.1001/jamaophthalmol.2017.6796. PMID: 29450486Free PMC Article
Prisms are effective in resolving diplopia from incomitant, large, and combined strabismus.
Tamhankar MA, Ying GS, Volpe NJ
Eur J Ophthalmol 2012 Nov-Dec;22(6):890-7. Epub 2012 Mar 29 doi: 10.5301/ejo.5000144. PMID: 22467592
Treatment of incomitant hypertropia and diplopia with recession of the inferior rectus and superior rectus muscles of the same eye.
Black BC
J AAPOS 2007 Jun;11(3):262-5. doi: 10.1016/j.jaapos.2007.03.004. PMID: 17572341
Combined resection and recession of a single rectus muscle for the treatment of incomitant strabismus.
Bock CJ Jr, Buckley EG, Freedman SF
J AAPOS 1999 Oct;3(5):263-8. doi: 10.1016/s1091-8531(99)70020-0. PMID: 10532569

Clinical prediction guides

Strabismus Surgery in Orthophoric Patients With Symptomatic, Asymmetric Vertical or Horizontal Incomitance.
Phanphruk W, Hennein L, Hunter DG
Am J Ophthalmol 2023 May;249:29-38. Epub 2022 Dec 27 doi: 10.1016/j.ajo.2022.12.019. PMID: 36581192
The Clinical and Imaging Profile of Skew Deviation: A Study of 157 Cases.
Walter E, Trobe JD
J Neuroophthalmol 2021 Mar 1;41(1):69-76. doi: 10.1097/WNO.0000000000000915. PMID: 32235234
Principles and general strabismus surgical rules in cyclovertical eye muscle palsies.
Khawam E, Abdulaal M, Massoud V, Jaroudi M
Binocul Vis Strabolog Q Simms Romano 2012;27(4):249-63. PMID: 23234487
Prisms are effective in resolving diplopia from incomitant, large, and combined strabismus.
Tamhankar MA, Ying GS, Volpe NJ
Eur J Ophthalmol 2012 Nov-Dec;22(6):890-7. Epub 2012 Mar 29 doi: 10.5301/ejo.5000144. PMID: 22467592
Treatment of incomitant hypertropia and diplopia with recession of the inferior rectus and superior rectus muscles of the same eye.
Black BC
J AAPOS 2007 Jun;11(3):262-5. doi: 10.1016/j.jaapos.2007.03.004. PMID: 17572341

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...