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Cyclotropia

MedGen UID:
508927
•Concept ID:
C0152209
•
Disease or Syndrome
Synonym: cyclotropia
SNOMED CT: Cyclotropia (70486007)
 
HPO: HP:0031776
Monarch Initiative: MONDO:0004894

Definition

A form of manifest strabismus (heterotropia) in which the one eye is wheel rotated so that the upper end of its vertical axis is nasal (incyclotropia) or temporal (excyclotropia). [from HPO]

Term Hierarchy

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

Professional guidelines

PubMed

ANOMALOUS HEAD POSTURES IN STRABISMUS AND NYSTAGMUS DIAGNOSIS AND MANAGEMENT.
Teodorescu L
Rom J Ophthalmol 2015 Jul-Sep;59(3):137-40. PMID: 26978880Free PMC Article
The diagnosis and treatment of bilateral masked superior oblique palsy.
Kushner BJ
Am J Ophthalmol 1988 Feb 15;105(2):186-94. doi: 10.1016/0002-9394(88)90184-5. PMID: 3277437

Recent clinical studies

Etiology

Isolated schwannoma involving extraocular muscles.
Yulek F, Demer JL
J AAPOS 2016 Aug;20(4):343-7. Epub 2016 Jul 14 doi: 10.1016/j.jaapos.2016.05.015. PMID: 27424045Free PMC Article
Rectus Pulley Displacements without Abnormal Oblique Contractility Explain Strabismus in Superior Oblique Palsy.
Suh SY, Le A, Clark RA, Demer JL
Ophthalmology 2016 Jun;123(6):1222-31. Epub 2016 Mar 13 doi: 10.1016/j.ophtha.2016.02.016. PMID: 26983977Free PMC Article
Unmasking Bilateral Inferior Rectus Restriction in Thyroid Eye Disease: Using Degree of Cyclotropia.
Arnoldi K, Reynolds JD
Am Orthopt J 2015;65:81-6. doi: 10.3368/aoj.65.1.81. PMID: 26564931
Cyclotropia to differentiate longstanding and acute fourth cranial nerve palsy.
Sheeley M, Arnoldi K
Am Orthopt J 2014;64:105-11. doi: 10.3368/aoj.64.1.105. PMID: 25313119
Major Review: Management of Strabismus Vertical Deviations, A- and V-Patterns and Cyclotropia Occurring after Horizontal Rectus Muscle Surgery with or without Oblique Muscle Surgery.
Khawam E, Jaroudi M, Abdulaal M, Massoud V, Alameddine R, Maalouf F
Binocul Vis Strabolog Q Simms Romano 2013;28(3):181-92. PMID: 24063512

Diagnosis

Isolated schwannoma involving extraocular muscles.
Yulek F, Demer JL
J AAPOS 2016 Aug;20(4):343-7. Epub 2016 Jul 14 doi: 10.1016/j.jaapos.2016.05.015. PMID: 27424045Free PMC Article
Rectus Pulley Displacements without Abnormal Oblique Contractility Explain Strabismus in Superior Oblique Palsy.
Suh SY, Le A, Clark RA, Demer JL
Ophthalmology 2016 Jun;123(6):1222-31. Epub 2016 Mar 13 doi: 10.1016/j.ophtha.2016.02.016. PMID: 26983977Free PMC Article
ANOMALOUS HEAD POSTURES IN STRABISMUS AND NYSTAGMUS DIAGNOSIS AND MANAGEMENT.
Teodorescu L
Rom J Ophthalmol 2015 Jul-Sep;59(3):137-40. PMID: 26978880Free PMC Article
Torsional Diplopia.
Miller AM
Am Orthopt J 2015;65:21-5. doi: 10.3368/aoj.65.1.21. PMID: 26564921
The diagnosis and treatment of bilateral masked superior oblique palsy.
Kushner BJ
Am J Ophthalmol 1988 Feb 15;105(2):186-94. doi: 10.1016/0002-9394(88)90184-5. PMID: 3277437

Therapy

Photographic assessment of changes in torsional strabismus.
Felius J, Locke KG, Hussein MA, Stager DR Jr, Stager DR Sr
J AAPOS 2009 Dec;13(6):593-5. doi: 10.1016/j.jaapos.2009.09.008. PMID: 20006824
Counterrotation of the globe in macular translocation.
Fricke J, Neugebauer A, Nobis H, Bartz-Schmidt KU, Rüssmann W
Graefes Arch Clin Exp Ophthalmol 2000 Aug;238(8):664-8. doi: 10.1007/s004170000170. PMID: 11011686
Vertical and cyclotorsional deviations following peribulbar anesthesia.
Neugebauer A, Fricke J, Pink U, Rüssmann W
Graefes Arch Clin Exp Ophthalmol 2000 Feb;238(2):119-22. doi: 10.1007/pl00007878. PMID: 10766279

Prognosis

Rectus Pulley Displacements without Abnormal Oblique Contractility Explain Strabismus in Superior Oblique Palsy.
Suh SY, Le A, Clark RA, Demer JL
Ophthalmology 2016 Jun;123(6):1222-31. Epub 2016 Mar 13 doi: 10.1016/j.ophtha.2016.02.016. PMID: 26983977Free PMC Article
Unmasking Bilateral Inferior Rectus Restriction in Thyroid Eye Disease: Using Degree of Cyclotropia.
Arnoldi K, Reynolds JD
Am Orthopt J 2015;65:81-6. doi: 10.3368/aoj.65.1.81. PMID: 26564931
Clinical characteristics of cyclodeviation.
Woo SJ, Seo JM, Hwang JM
Eye (Lond) 2005 Aug;19(8):873-8. doi: 10.1038/sj.eye.6701675. PMID: 15731772
Horizontal transposition of the vertical rectus muscles for cyclotropia.
von Noorden GK, Jenkins RH, Chu MW
Am J Ophthalmol 1996 Sep;122(3):325-30. doi: 10.1016/s0002-9394(14)72058-6. PMID: 8794704
Clinical characteristics and treatment of isolated inferior rectus paralysis.
von Noorden GK, Hansell R
Ophthalmology 1991 Feb;98(2):253-7. doi: 10.1016/s0161-6420(91)32308-x. PMID: 2008286

Clinical prediction guides

Rectus Pulley Displacements without Abnormal Oblique Contractility Explain Strabismus in Superior Oblique Palsy.
Suh SY, Le A, Clark RA, Demer JL
Ophthalmology 2016 Jun;123(6):1222-31. Epub 2016 Mar 13 doi: 10.1016/j.ophtha.2016.02.016. PMID: 26983977Free PMC Article
Unmasking Bilateral Inferior Rectus Restriction in Thyroid Eye Disease: Using Degree of Cyclotropia.
Arnoldi K, Reynolds JD
Am Orthopt J 2015;65:81-6. doi: 10.3368/aoj.65.1.81. PMID: 26564931
Principles and general strabismus surgical rules in cyclovertical eye muscle palsies.
Khawam E, Abdulaal M, Massoud V, Jaroudi M
Binocul Vis Strabolog Q Simms Romano 2012;27(4):249-63. PMID: 23234487
Role of the vertical muscles in horizontal deviations.
Mathalone B, Calcutt C
Trans Ophthalmol Soc U K (1962) 1977 Apr;97(1):20-2. PMID: 271394

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