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Excyclotropia

MedGen UID:
543304
•Concept ID:
C0271367
•
Disease or Syndrome
Synonym: excyclotropia
SNOMED CT: Excyclotropia (33584003)
 
HPO: HP:0031727

Definition

A type of cyclotropia (torsion of one or both eye around the visual axis of the eyes) in which the upper poles of the globes are rotated outward (laterally) to each other. [from HPO]

Term Hierarchy

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

Professional guidelines

PubMed

Improved SSD network for accurate detection of optic disc and fovea and application in excyclotropia screening.
Xie H, Tang C, Xu M, Lei Z
J Opt Soc Am A Opt Image Sci Vis 2021 Jan 1;38(1):10-18. doi: 10.1364/JOSAA.403850. PMID: 33362147

Recent clinical studies

Etiology

Novel superior oblique anterior fiber plication with or without adjustable sliding knot for extorsion.
Anderson M, Bothun ED
J AAPOS 2024 Jun;28(3):103927. Epub 2024 May 3 doi: 10.1016/j.jaapos.2024.103927. PMID: 38704020
Modified Anterior Superior Oblique Tuck: A Case Series.
Solanes F, Velez FG, Robbins L, Pineles SL
J Binocul Vis Ocul Motil 2020 Oct-Dec;70(4):157-162. Epub 2020 Aug 12 doi: 10.1080/2576117X.2020.1801033. PMID: 32783613
Adjustable Bilateral Superior Oblique Tendon Advancement for Bilateral Fourth Nerve Palsy.
Bata BM, Leske DA, Holmes JM
Am J Ophthalmol 2017 Jun;178:115-121. Epub 2017 Mar 31 doi: 10.1016/j.ajo.2017.03.028. PMID: 28366647Free 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

Diagnosis

Improved SSD network for accurate detection of optic disc and fovea and application in excyclotropia screening.
Xie H, Tang C, Xu M, Lei Z
J Opt Soc Am A Opt Image Sci Vis 2021 Jan 1;38(1):10-18. doi: 10.1364/JOSAA.403850. PMID: 33362147
Anterior nasal transposition of the inferior oblique muscle can cause antielevation syndrome.
Han J, Kang M, Han SH
J AAPOS 2016 Oct;20(5):453-455.e1. Epub 2016 Sep 20 doi: 10.1016/j.jaapos.2016.04.011. PMID: 27658540
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
Diagnostic occlusion test in cases of unilateral strabismus sursoadductorius.
Kolling GH, Steffen H, Baader A, Unnebrink K
Strabismus 2004 Mar;12(1):41-50. doi: 10.1076/stra.12.1.41.29016. PMID: 15255368
Excyclotropia of the nonparetic eye in unilateral superior oblique muscle paralysis.
Olivier P, von Noorden GK
Am J Ophthalmol 1982 Jan;93(1):30-3. doi: 10.1016/0002-9394(82)90694-8. PMID: 7065084

Therapy

Anterior nasal transposition of the inferior oblique muscle can cause antielevation syndrome.
Han J, Kang M, Han SH
J AAPOS 2016 Oct;20(5):453-455.e1. Epub 2016 Sep 20 doi: 10.1016/j.jaapos.2016.04.011. PMID: 27658540
The inferior oblique muscle adherence syndrome.
Kushner BJ
Arch Ophthalmol 2007 Nov;125(11):1510-4. doi: 10.1001/archopht.125.11.1510. PMID: 17998512
Simulated torsional disparity disrupts horizontal fusion and stereopsis.
Georgievski Z, Sleep M, Koklanis K
J AAPOS 2007 Apr;11(2):120-4. doi: 10.1016/j.jaapos.2006.09.022. PMID: 17416321

Prognosis

Improved SSD network for accurate detection of optic disc and fovea and application in excyclotropia screening.
Xie H, Tang C, Xu M, Lei Z
J Opt Soc Am A Opt Image Sci Vis 2021 Jan 1;38(1):10-18. doi: 10.1364/JOSAA.403850. PMID: 33362147
Modified Anterior Superior Oblique Tuck: A Case Series.
Solanes F, Velez FG, Robbins L, Pineles SL
J Binocul Vis Ocul Motil 2020 Oct-Dec;70(4):157-162. Epub 2020 Aug 12 doi: 10.1080/2576117X.2020.1801033. PMID: 32783613
Adjustable Bilateral Superior Oblique Tendon Advancement for Bilateral Fourth Nerve Palsy.
Bata BM, Leske DA, Holmes JM
Am J Ophthalmol 2017 Jun;178:115-121. Epub 2017 Mar 31 doi: 10.1016/j.ajo.2017.03.028. PMID: 28366647Free 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
The double-bellied inferior oblique muscle: clinical correlates.
Deangelis DD, Kraft SP
J AAPOS 2001 Apr;5(2):76-81. doi: 10.1067/mpa.2001.111780. PMID: 11304813

Clinical prediction guides

Improved SSD network for accurate detection of optic disc and fovea and application in excyclotropia screening.
Xie H, Tang C, Xu M, Lei Z
J Opt Soc Am A Opt Image Sci Vis 2021 Jan 1;38(1):10-18. doi: 10.1364/JOSAA.403850. PMID: 33362147
Correction of Excyclotropia by Surgery on the Inferior Rectus Muscle in Patients with Thyroid Eye Disease: A Retrospective, Observational Study.
Takahashi Y, Kitaguchi Y, Nakakura S, Mito H, Kimura A, Kakizaki H
PLoS One 2016;11(7):e0159562. Epub 2016 Jul 19 doi: 10.1371/journal.pone.0159562. PMID: 27434022Free 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
Simulated torsional disparity disrupts horizontal fusion and stereopsis.
Georgievski Z, Sleep M, Koklanis K
J AAPOS 2007 Apr;11(2):120-4. doi: 10.1016/j.jaapos.2006.09.022. PMID: 17416321
The double-bellied inferior oblique muscle: clinical correlates.
Deangelis DD, Kraft SP
J AAPOS 2001 Apr;5(2):76-81. doi: 10.1067/mpa.2001.111780. PMID: 11304813

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