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Ocular-induced abnormal head postures: A systematic review and analysis.

Saja Al-Dabet1, Sherzod Turaev1, Nazar Zaki1

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Abnormal head postures (AHPs) are often compensatory responses to eye diseases like Duane syndrome. Understanding these links aids in diagnosing and treating vision disorders.

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Area of Science:

  • Ophthalmology and Vision Science
  • Biomedical Engineering
  • Medical Diagnostics

Background:

  • Abnormal head postures (AHPs) are common in ocular diseases, serving as compensatory mechanisms.
  • Patients adopt AHPs to improve visual field utilization or manage diplopia.

Purpose of the Study:

  • To review the causal relationship between specific ocular diseases and resulting AHPs.
  • To analyze AHP types, ocular conditions, and associated misalignment degrees.
  • To assess the association between diseases, AHPs, and ocular misalignment using statistical measures.

Main Methods:

  • Conducted an extensive literature search for medical studies on AHPs in ocular disorders.
  • Quantified AHP types (head tilt, turn, chin-up/down) and ocular misalignment (hypertropia, hypotropia, esotropia, exotropia).
  • Employed Cramer's V to evaluate the association between diseases, AHPs, and ocular misalignment.

Main Results:

  • Identified specific ocular diseases, including Duane retraction syndrome, Brown syndrome, and superior oblique palsy, associated with AHPs.
  • Detailed the frequency distribution of AHP types and ocular conditions.
  • Quantified degrees of ocular misalignment linked to specific AHP manifestations.

Conclusions:

  • Findings underscore the intricate connection between ocular pathologies and compensatory head movements.
  • Highlights the need for comprehensive datasets for developing AI-driven diagnostic tools for AHPs.
  • Provides foundational insights for advancing diagnostic and rehabilitation strategies in vision science.