Unexpected cyclotropia simulating disruption of fusion
B. J. Kushner
Pediatric Eye Clinic, Madison, WI 53705-3631.
Fifteen patients with diplopia associated with prior scleral buckling,
prior penetrating keratoplasty, severe corneal scarring, monocular aphakia,
long-standing strabismus, or prior vertical offsets of the horizontal recti
were thought to have disruption of fusion because diplopia could not be
eliminated with prisms. They were each found to have a substantial
symptomatic cyclotropia unassociated with an obvious dysfunction of an
oblique muscle. In 13 patients, diplopia resolved after the cyclotropia was
corrected surgically.
