This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Strabismus  • Ophthalmological Disorders, Other  • Diagnosis  • Alert me on articles by topic  Social Bookmarking   What's this?

Diagnosis From the Ground Up

Michael C. Brodsky, MD

Arch Ophthalmol. 2008;126(7):992-993.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In this issue of Archives, Parulekar et al¹ document the resolution of ocular torsion and skew deviation when patients are examined in the reclined position. While some of its methodology may strike the general reader as abstruse and academic, this study is original, clever, and innovative in its clinical application.

Until recently, ophthalmologists and neurologists lacked a mechanistic understanding of skew deviation. The term was generally used to describe a comitant vertical deviation that signified major injury to posterior fossa structures.^2-3 Skew deviation differed from other forms of vertical diplopia in that its size generally remained the same in different positions of gaze, it was unassociated with a primary or secondary deviation, and it did not change with head tilt.⁴ As such, it was considered a diagnosis of exclusion that was confined to neurologic patients.

Our concept of skew deviation was revitalized when Brandt and . . . [Full Text of this Article]

AUTHOR INFORMATION


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Head Position–Dependent Changes in Ocular Torsion and Vertical Misalignment in Skew Deviation
Manoj V. Parulekar, Shuan Dai, J. Raymond Buncic, and Agnes M. F. Wong
Arch Ophthalmol. 2008;126(7):899-905.
ABSTRACT | FULL TEXT