U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Hypotropia

MedGen UID:
101826
Concept ID:
C0152208
Disease or Syndrome
Synonyms: Downward Ocular Deviation; downward ocular deviation; hyop - Hypotropia; hypotropia; Sunset Sign; sunset sign
SNOMED CT: hyop - Hypotropia (29491004); Hypotropia (29491004)
 
HPO: HP:0025584
Monarch Initiative: MONDO:0004897

Definition

A form of manifest strabismus (heterotropia) in which one eye is deviated downwards when both eyes are open. [from HPO]

Term Hierarchy

Conditions with this feature

Fibrosis of extraocular muscles, congenital, 2
MedGen UID:
356119
Concept ID:
C1865915
Disease or Syndrome
Congenital fibrosis of extraocular muscles-2 (CFEOM2) is an autosomal recessive disorder in which affected individuals are born with bilateral ptosis and restrictive ophthalmoplegia with the globes fixed in extreme abduction (exotropia) (Wang et al., 1998, Nakano et al., 2001). For a general phenotypic description and a discussion of genetic heterogeneity of various forms of CFEOM, see CFEOM1 (135700).
Ophthalmoplegia, external, with rib and vertebral anomalies
MedGen UID:
1648445
Concept ID:
C4748418
Disease or Syndrome
External ophthalmoplegia with rib and vertebral anomalies (EORVA) is characterized by congenital nonprogressive external ophthalmoplegia and ptosis, with torticollis and scoliosis developing during childhood. In addition, patients exhibit hypoplastic or missing ribs with fusion anomalies (Di Gioia et al., 2018).

Professional guidelines

PubMed

Lin Q, Man F, Wang N, Chen T, Yu G, Wang Z, Chang Q, Jiao Y, Zhao K
J AAPOS 2011 Feb;15(1):5-8. doi: 10.1016/j.jaapos.2010.09.019. PMID: 21397798
Wright KW
Trans Am Ophthalmol Soc 1999;97:1023-109. PMID: 10703149Free PMC Article
Gillum WN, Anderson RL, Baumgartner S
J Pediatr Ophthalmol Strabismus 1981 Jul-Aug;18(4):25-36. doi: 10.3928/0191-3913-19810701-06. PMID: 7264856

Recent clinical studies

Etiology

Nadeem S
Int Ophthalmol 2022 Oct;42(10):3165-3181. Epub 2022 May 18 doi: 10.1007/s10792-022-02316-3. PMID: 35583684
Kim JY, Yang HK, Kim N, Kim MJ, Cho SI, Seong MW, Park SS, Hwang JM
Acta Ophthalmol 2021 Mar;99(2):e274-e280. Epub 2020 Nov 15 doi: 10.1111/aos.14558. PMID: 33191655
Robbins L, Goseki T, Law SK, Nouri-Mahdavi K, Caprioli J, Coleman AL, Giaconi JA, Demer JL, Velez FG, Pineles SL
Am J Ophthalmol 2021 Feb;222:1-5. Epub 2020 Aug 17 doi: 10.1016/j.ajo.2020.08.019. PMID: 32818449
Hatt SR, Wang X, Holmes JM
Cochrane Database Syst Rev 2015 Nov 20;2015(11):CD010868. doi: 10.1002/14651858.CD010868.pub2. PMID: 26587695Free PMC Article
Lin Q, Man F, Wang N, Chen T, Yu G, Wang Z, Chang Q, Jiao Y, Zhao K
J AAPOS 2011 Feb;15(1):5-8. doi: 10.1016/j.jaapos.2010.09.019. PMID: 21397798

Diagnosis

Nadeem S
Int Ophthalmol 2022 Oct;42(10):3165-3181. Epub 2022 May 18 doi: 10.1007/s10792-022-02316-3. PMID: 35583684
Ozsoy E, Gunduz A, Firat IT, Firat M
Arq Bras Oftalmol 2021 Mar-Apr;84(2):133-139. doi: 10.5935/0004-2749.20210021. PMID: 33567010
Parness-Yossifon R, Listernick R, Charrow J, Barto H, Zeid JL
J AAPOS 2015 Oct;19(5):422-5. doi: 10.1016/j.jaapos.2015.06.003. PMID: 26486023
Lin Q, Man F, Wang N, Chen T, Yu G, Wang Z, Chang Q, Jiao Y, Zhao K
J AAPOS 2011 Feb;15(1):5-8. doi: 10.1016/j.jaapos.2010.09.019. PMID: 21397798
Ludwig IH, Smith JF
Trans Am Ophthalmol Soc 2004;102:159-65; discussion 165-7. PMID: 15747754Free PMC Article

Therapy

Senda J, Hirao R, Maeda K, Amakusa Y, Hirunagi T, Katsuno M, Kawaguchi K
Nagoya J Med Sci 2023 Nov;85(4):822-827. doi: 10.18999/nagjms.85.4.822. PMID: 38155615Free PMC Article
Robbins L, Goseki T, Law SK, Nouri-Mahdavi K, Caprioli J, Coleman AL, Giaconi JA, Demer JL, Velez FG, Pineles SL
Am J Ophthalmol 2021 Feb;222:1-5. Epub 2020 Aug 17 doi: 10.1016/j.ajo.2020.08.019. PMID: 32818449
Kasem M, Metwally H, El-Adawy IT, Abdelhameed AG
Graefes Arch Clin Exp Ophthalmol 2020 Sep;258(9):1991-1997. Epub 2020 May 27 doi: 10.1007/s00417-020-04742-4. PMID: 32462341
Chang MY, Coleman AL, Tseng VL, Demer JL
Cochrane Database Syst Rev 2017 Nov 27;11(11):CD012447. doi: 10.1002/14651858.CD012447.pub2. PMID: 29178265Free PMC Article
Hatt SR, Wang X, Holmes JM
Cochrane Database Syst Rev 2015 Nov 20;2015(11):CD010868. doi: 10.1002/14651858.CD010868.pub2. PMID: 26587695Free PMC Article

Prognosis

Chaurasia S, Sharma P, Kishore P, Rasal A
Indian J Ophthalmol 2021 Apr;69(4):910-917. doi: 10.4103/ijo.IJO_1701_20. PMID: 33727458Free PMC Article
Ha SG, Kim SH
J Pediatr Ophthalmol Strabismus 2021 Jan 1;58(1):23-27. doi: 10.3928/01913913-20200910-04. PMID: 33495794
Robbins L, Goseki T, Law SK, Nouri-Mahdavi K, Caprioli J, Coleman AL, Giaconi JA, Demer JL, Velez FG, Pineles SL
Am J Ophthalmol 2021 Feb;222:1-5. Epub 2020 Aug 17 doi: 10.1016/j.ajo.2020.08.019. PMID: 32818449
Serafino M, Scaramuzzi M, Villani E, Nucci P
Eur J Ophthalmol 2020 Jul;30(4):676-679. Epub 2019 May 20 doi: 10.1177/1120672119850684. PMID: 31106643
Ganesh SC DO DNB, Jayadev NA MS, Oguego N M Ophthal, Narendran K DO DNB, Rao SG MS
Strabismus 2019 Dec;27(4):223-229. Epub 2019 Oct 15 doi: 10.1080/09273972.2019.1676794. PMID: 31612771

Clinical prediction guides

Bhate M, Adewara B, Bothra N
Indian J Ophthalmol 2023 Mar;71(3):973-976. doi: 10.4103/ijo.IJO_1929_22. PMID: 36872720Free PMC Article
Ozsoy E, Gunduz A, Firat IT, Firat M
Arq Bras Oftalmol 2021 Mar-Apr;84(2):133-139. doi: 10.5935/0004-2749.20210021. PMID: 33567010
Awadein A, Hassanein DH
J AAPOS 2020 Jun;24(3):131.e1-131.e6. Epub 2020 May 30 doi: 10.1016/j.jaapos.2020.02.005. PMID: 32479997
Serafino M, Scaramuzzi M, Villani E, Nucci P
Eur J Ophthalmol 2020 Jul;30(4):676-679. Epub 2019 May 20 doi: 10.1177/1120672119850684. PMID: 31106643
Chang MY, Coleman AL, Tseng VL, Demer JL
Cochrane Database Syst Rev 2017 Nov 27;11(11):CD012447. doi: 10.1002/14651858.CD012447.pub2. PMID: 29178265Free PMC Article

Recent systematic reviews

Van Swol JM, Myers WK, Nguyen SA, Wilson ME
J Binocul Vis Ocul Motil 2023 Apr-Jun;73(2):43-52. Epub 2023 Feb 13 PMID: 36780505
Chang MY, Coleman AL, Tseng VL, Demer JL
Cochrane Database Syst Rev 2017 Nov 27;11(11):CD012447. doi: 10.1002/14651858.CD012447.pub2. PMID: 29178265Free PMC Article
Hatt SR, Wang X, Holmes JM
Cochrane Database Syst Rev 2015 Nov 20;2015(11):CD010868. doi: 10.1002/14651858.CD010868.pub2. PMID: 26587695Free PMC Article

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...