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Hyperphoria

MedGen UID:
543305
•Concept ID:
C0271368
•
Disease or Syndrome
Synonym: H - Hyperphoria
SNOMED CT: Hyperphoria (421452007); H - Hyperphoria (421452007)
 
HPO: HP:0025585

Definition

Tendency for the visual axis of one eye to be higher than that of the other. [from HPO]

Term Hierarchy

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

Recent clinical studies

Etiology

Binocular vision disorders in a geriatric population.
Hashemi H, Nabovati P, Yekta AA, Agha Mirsalim M, Rafati S, Ostadimoghaddam H, Khabazkhoob M
Clin Exp Optom 2022 Jul;105(5):539-545. Epub 2021 May 20 doi: 10.1080/08164622.2021.1922065. PMID: 34016028
Functional Anatomy of Muscle Mechanisms: Compensating Vertical Heterophoria.
Demer JL, Clark RA
Am J Ophthalmol 2021 Jan;221:137-146. Epub 2020 Sep 9 doi: 10.1016/j.ajo.2020.09.002. PMID: 32918906Free 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
Clinical progression of untreated bilateral Brown syndrome.
Sorrentino D, Warman R
J AAPOS 2014 Apr;18(2):156-8. doi: 10.1016/j.jaapos.2013.12.004. PMID: 24698613
Vertical misalignment in unilateral sixth nerve palsy.
Wong AM, Tweed D, Sharpe JA
Ophthalmology 2002 Jul;109(7):1315-25. doi: 10.1016/s0161-6420(02)01067-9. PMID: 12093657

Diagnosis

Binocular vision disorders in a geriatric population.
Hashemi H, Nabovati P, Yekta AA, Agha Mirsalim M, Rafati S, Ostadimoghaddam H, Khabazkhoob M
Clin Exp Optom 2022 Jul;105(5):539-545. Epub 2021 May 20 doi: 10.1080/08164622.2021.1922065. PMID: 34016028
HINTS Examination in Acute Vestibular Neuritis: Do Not Look Too Hard for the Skew.
Green KE, Gold DR
J Neuroophthalmol 2021 Dec 1;41(4):e672-e678. doi: 10.1097/WNO.0000000000001013. PMID: 32701756
Unilateral Abducens Nerve Palsy Following Perinatal Stroke of the Middle Cerebral Artery.
Kudrna JJ, Dryden SC, Richardson CR, Choudhri AF, Kerr NC
J Pediatr Ophthalmol Strabismus 2020 Mar 12;57:e30-e33. doi: 10.3928/01913913-20200219-02. PMID: 32176807
Clinical progression of untreated bilateral Brown syndrome.
Sorrentino D, Warman R
J AAPOS 2014 Apr;18(2):156-8. doi: 10.1016/j.jaapos.2013.12.004. PMID: 24698613
Vertical misalignment in unilateral sixth nerve palsy.
Wong AM, Tweed D, Sharpe JA
Ophthalmology 2002 Jul;109(7):1315-25. doi: 10.1016/s0161-6420(02)01067-9. PMID: 12093657

Therapy

Binocular vision disorders in a geriatric population.
Hashemi H, Nabovati P, Yekta AA, Agha Mirsalim M, Rafati S, Ostadimoghaddam H, Khabazkhoob M
Clin Exp Optom 2022 Jul;105(5):539-545. Epub 2021 May 20 doi: 10.1080/08164622.2021.1922065. PMID: 34016028
Double-masked randomised placebo-controlled trial of the effect of prismatic corrections on rate of reading and the relationship with symptoms.
O'Leary CI, Evans BJ
Ophthalmic Physiol Opt 2006 Nov;26(6):555-65. doi: 10.1111/j.1475-1313.2006.00400.x. PMID: 17040419
Optometric function in visually sensitive migraine before and after treatment with tinted spectacles.
Evans BJ, Patel R, Wilkins AJ
Ophthalmic Physiol Opt 2002 Mar;22(2):130-42. doi: 10.1046/j.1475-1313.2002.00017.x. PMID: 12014487

Prognosis

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
Clinical progression of untreated bilateral Brown syndrome.
Sorrentino D, Warman R
J AAPOS 2014 Apr;18(2):156-8. doi: 10.1016/j.jaapos.2013.12.004. PMID: 24698613
Unilateral superior rectus recession for the treatment of dissociated vertical deviation.
Schwartz T, Scott W
J Pediatr Ophthalmol Strabismus 1991 Jul-Aug;28(4):219-22. doi: 10.3928/0191-3913-19910701-08. PMID: 1919970
Superior rectus recessions for dissociated vertical deviation.
Scott WE, Sutton VJ, Thalacker JA
Ophthalmology 1982 Apr;89(4):317-22. doi: 10.1016/s0161-6420(82)34785-5. PMID: 7099552

Clinical prediction guides

Asymmetrical vertical phorias indicating dissociated vertical deviation in subjects with normal binocular vision.
van Rijn LJ, ten Tusscher MP, de Jong I, Hendrikse F
Vision Res 1998 Oct;38(19):2973-8. doi: 10.1016/s0042-6989(98)00079-0. PMID: 9797992
Unilateral superior rectus recession for the treatment of dissociated vertical deviation.
Schwartz T, Scott W
J Pediatr Ophthalmol Strabismus 1991 Jul-Aug;28(4):219-22. doi: 10.3928/0191-3913-19910701-08. PMID: 1919970

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