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Incyclotropia

MedGen UID:
543303
•Concept ID:
C0271366
•
Disease or Syndrome
Synonym: incyclotropia
SNOMED CT: Incyclotropia (68041004)
 
HPO: HP:0031726

Definition

A type of cyclotropia (torsion of one or both eye around the visual axis of the eyes) in which the upper poles of the globes are rotated inward (medially) to each other. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIncyclotropia

Professional guidelines

PubMed

ANOMALOUS HEAD POSTURES IN STRABISMUS AND NYSTAGMUS DIAGNOSIS AND MANAGEMENT.
Teodorescu L
Rom J Ophthalmol 2015 Jul-Sep;59(3):137-40. PMID: 26978880Free PMC Article
The diagnosis and treatment of bilateral masked superior oblique palsy.
Kushner BJ
Am J Ophthalmol 1988 Feb 15;105(2):186-94. doi: 10.1016/0002-9394(88)90184-5. PMID: 3277437

Recent clinical studies

Etiology

Clinical characteristics and surgical outcomes of isolated inferior rectus palsy.
Fu L, Zhu B, Yan J
BMC Ophthalmol 2021 Dec 7;21(1):422. doi: 10.1186/s12886-021-02121-z. PMID: 34876092Free PMC Article
Adjustable Bilateral Superior Oblique Tendon Advancement for Bilateral Fourth Nerve Palsy.
Bata BM, Leske DA, Holmes JM
Am J Ophthalmol 2017 Jun;178:115-121. Epub 2017 Mar 31 doi: 10.1016/j.ajo.2017.03.028. PMID: 28366647Free PMC Article
Inferior Rectus Transposition: A Novel Procedure for Abducens Palsy.
Velez FG, Chang MY, Pineles SL
Am J Ophthalmol 2017 May;177:126-130. Epub 2017 Feb 28 doi: 10.1016/j.ajo.2017.02.021. PMID: 28254627Free PMC Article
Superior oblique tendon incarceration syndrome.
Kushner BJ
Arch Ophthalmol 2007 Aug;125(8):1070-6. doi: 10.1001/archopht.125.8.1070. PMID: 17698753
Horizontal transposition of the vertical rectus muscles for cyclotropia.
von Noorden GK, Jenkins RH, Chu MW
Am J Ophthalmol 1996 Sep;122(3):325-30. doi: 10.1016/s0002-9394(14)72058-6. PMID: 8794704

Diagnosis

Damage to the inferior oblique muscle branch of the oculomotor nerve: a complication during orbital fat decompression.
Takahashi Y, Kakizaki H
Int Ophthalmol 2019 Mar;39(3):711-716. Epub 2018 Feb 8 doi: 10.1007/s10792-018-0856-8. PMID: 29423785
Displacement of rectus muscle pulleys by torsional muscle surgery for treatment of full macular translocation-induced incyclotropia.
Kono R, Ohtsuki H, Okanobu H, Kinugasa K
Am J Ophthalmol 2005 Jul;140(1):144-6. doi: 10.1016/j.ajo.2004.12.034. PMID: 16038663

Therapy

Damage to the inferior oblique muscle branch of the oculomotor nerve: a complication during orbital fat decompression.
Takahashi Y, Kakizaki H
Int Ophthalmol 2019 Mar;39(3):711-716. Epub 2018 Feb 8 doi: 10.1007/s10792-018-0856-8. PMID: 29423785
Iatrogenic inferior oblique palsy: intentional disinsertion during transcaruncular approach to orbital fracture repair.
Tiedemann LM, Lefebvre DR, Wan MJ, Dagi LR
J AAPOS 2014 Oct;18(5):511-4. Epub 2014 Sep 27 doi: 10.1016/j.jaapos.2014.06.005. PMID: 25266842
Superior oblique tendon incarceration syndrome.
Kushner BJ
Arch Ophthalmol 2007 Aug;125(8):1070-6. doi: 10.1001/archopht.125.8.1070. PMID: 17698753

Prognosis

Damage to the inferior oblique muscle branch of the oculomotor nerve: a complication during orbital fat decompression.
Takahashi Y, Kakizaki H
Int Ophthalmol 2019 Mar;39(3):711-716. Epub 2018 Feb 8 doi: 10.1007/s10792-018-0856-8. PMID: 29423785
Adjustable Bilateral Superior Oblique Tendon Advancement for Bilateral Fourth Nerve Palsy.
Bata BM, Leske DA, Holmes JM
Am J Ophthalmol 2017 Jun;178:115-121. Epub 2017 Mar 31 doi: 10.1016/j.ajo.2017.03.028. PMID: 28366647Free PMC Article
Inferior Rectus Transposition: A Novel Procedure for Abducens Palsy.
Velez FG, Chang MY, Pineles SL
Am J Ophthalmol 2017 May;177:126-130. Epub 2017 Feb 28 doi: 10.1016/j.ajo.2017.02.021. PMID: 28254627Free PMC Article
Superior oblique tendon incarceration syndrome.
Kushner BJ
Arch Ophthalmol 2007 Aug;125(8):1070-6. doi: 10.1001/archopht.125.8.1070. PMID: 17698753
Horizontal transposition of the vertical rectus muscles for cyclotropia.
von Noorden GK, Jenkins RH, Chu MW
Am J Ophthalmol 1996 Sep;122(3):325-30. doi: 10.1016/s0002-9394(14)72058-6. PMID: 8794704

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