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Related Experiment Videos

Cyclic vertical deviation.

H S Metz, S S Searl

    Transactions of the American Ophthalmological Society
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    A patient developed a rare circadian strabismus, experiencing alternating eye deviations over 24-hour cycles after craniofacial surgery. Surgical intervention successfully restored daily straight eye alignment and fusion.

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    Area of Science:

    • Ophthalmology
    • Neurology
    • Craniofacial Surgery

    Background:

    • Fronto-orbital fibrous dysplasia is a rare bone disorder.
    • Craniofacial surgery can lead to various postoperative complications.
    • Ocular motility disorders can occur after complex head and neck surgeries.

    Observation:

    • A 34-year-old woman developed vertical diplopia 10 months post-craniofacial surgery for fronto-orbital fibrous dysplasia.
    • The diplopia resolved temporarily, then recurred with a 24-hour circadian pattern of alternating hypertropia and exotropia.
    • This cyclical strabismus persisted for three months before further surgical intervention.

    Findings:

    • The patient's condition presented as a unique form of circadian strabismus.
    • Surgical correction of the strabismus resulted in daily ocular alignment and fusion.

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  • The case shares similarities with cyclic esotropia, suggesting potential overlapping mechanisms.

    • Implications:

    • The etiology of circadian strabismus is currently unknown and requires further investigation.
    • Understanding this condition may offer insights into complex ocular motility disorders.
    • This case highlights the importance of recognizing and managing rare postoperative ophthalmic complications.