Ocular Causes of Abnormal Head Position: Strabismus Clinic Data

Objective & Hypothesis:Objectives: To determine the most common ocular causes and types of abnormal head position (AHP) and describe their clinical features.

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Key Findings & Data:Results: A total of 163 patients including 61 women (37.4%) and 102 men (62.6%), with a mean age of 19.9±18.3 were recruited.

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Conclusion & Impact:The frequency of amblyopia varied depending on the diagnosis (p

🔬Design:Review & Systematic Survey

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objectives: To determine the most common ocular causes and types of abnormal head position (AHP) and describe their clinical features. Materials and Methods: Patients with AHP who had been followed in the strabismus unit were retrospectively reviewed. Demographic features and orthoptic characteristics were recorded. Results: A total of 163 patients including 61 women (37.4%) and 102 men (62.6%), with a mean age of 19.9±18.3 were recruited. The most common causes of AHP were determined as fourth cranial nerve palsy (33.7%), Duane retraction syndrome (21.5%), sixth cranial nerve palsy (11%), nystagmus blockage syndrome (9.8%) and Brown syndrome (6.7%). Other less frequent causes were A-V pattern strabismus, comitant strabismus, thyroid orbitopathy and third cranial nerve palsy. The most common types of AHP were head tilt (45.4%) and face turn (36.8%). Out of 142 patients whose visual acuity could be evaluated, 28.2% had amblyopia. The frequency of amblyopia varied depending on the diagnosis (p

Özet

Amaç: Oküler nedenlere bağlı anormal baş pozisyonu (ABP) tiplerini ve dağılımını belirlemek ve bu bulguya sahip olan hastalarınklinik özelliklerini tartışmaktır.Gereç ve Yöntem: Şaşılık biriminde takip edilen ve ABP bulunan hastalar geriye dönük olarak incelendi. Hastaların demografiközellikleri ve ortoptik muayene bulguları kaydedildi.Bulgular: Ortalama yaşı 19,9±18,3 olan, 61 kadın (%37,4), 102 erkek (%62,6) toplam 163 hasta değerlendirmeye alındı. ABPiçin oküler nedenler arasında dördüncü sinir felci (%33,7), Duane retraksiyon sendromu (%21,5), altıncı sinir felci (%11), nistagmusblokaj sendromu (%9,8) ve Brown sendromunun (%6,7) en sık beş tanıyı oluşturduğu belirlendi. Diğer tanılar ise A-V patern kayma,konkomitan şaşılık, tiroid orbitopati ve üçüncü sinir felci idi. Hastalarda en sık ABP tipleri baş eğme (%45,4) ve yüz çevirmeydi(%36,8). Görme keskinliği değerlendirilebilen 142 hastanın %28,2’sinde göz tembelliği mevcuttu. Tanılara göre göz tembelliği sıklığıdeğişmekte iken (p

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Cite This Article

ŞEKEROĞLU, H. T., TURAN, K. E., KARAKAYA, J., ŞENER, E. C., SANAÇ, A. Ş., VURAL, E., KOÇ, İ. (2022). Ocular Causes of Abnormal Head Position: Strabismus Clinic Data. Türk Oftalmoloji Dergisi, Cilt: 47 - Sayı: 4, 211–215. https://ajindex.com/articles/637835

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