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Using an Automated Hirschberg Test App to Evaluate Ocular Alignment
Published on: March 24, 2020
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Ocular Abnormal Head Posture: A Literature Review
Mohamad Reza Akbari1, Masoud Khorrami-Nejad2,3, Haleh Kangari3
1Translational Ophthalmology Research center, Farabi Eye Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Journal of Current Ophthalmology
|February 7, 2022
Summary
Abnormal head postures (AHPs) often stem from ocular conditions. Early diagnosis and treatment of these eye-related causes are crucial to prevent facial asymmetry and secondary musculoskeletal changes.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Strabismus
Background:
- Abnormal head postures (AHPs) are compensatory mechanisms for visual disturbances.
- Ocular causes account for a significant percentage of AHPs, necessitating specialized evaluation.
Purpose of the Study:
- To review the characteristics, measurement, and facial impact of ocular AHPs.
- To emphasize the importance of differentiating ocular from non-ocular causes of AHP.
Main Methods:
- Comprehensive literature search of PubMed, Scopus, and Google Scholar (1975-2020).
- Synthesis and classification of relevant scientific articles and books.
Main Results:
- Ocular causes represent 18-25% of AHPs, with 1.1% of ophthalmology clinic patients presenting with AHP.
- Key ocular causes include nystagmus, superior oblique palsy, and Duane's retraction syndrome.
- Delayed treatment can lead to facial asymmetry and secondary musculoskeletal alterations.
Conclusions:
- Accurate differential diagnosis between ocular and non-ocular AHPs is paramount.
- Timely and appropriate treatment of ocular AHPs prevents long-term facial and musculoskeletal deformities.
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