U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Incomitant strabismus

MedGen UID:
1369357
•Concept ID:
C4476577
•
Disease or Syndrome
HPO: HP:0025068

Definition

Strabismus in which the angle of deviation differs depending upon the direction of gaze or according to which eye is fixing, associated with [from HPO]

Professional guidelines

PubMed

Orthoptic management of incomitant strabismus.
Whitecross S
Int Ophthalmol Clin 2014 Summer;54(3):83-8. doi: 10.1097/IIO.0000000000000029. PMID: 24879106
Management of diplopia limited to down gaze.
Kushner BJ
Arch Ophthalmol 1995 Nov;113(11):1426-30. doi: 10.1001/archopht.1995.01100110086030. PMID: 7487605
Restrictions in the diagnoses and management of strabismus problems.
Metz HS
J Pediatr Ophthalmol Strabismus 1979 Mar-Apr;16(2):108-12. doi: 10.3928/0191-3913-19790301-06. PMID: 458515

Recent clinical studies

Etiology

Strabismus Surgery in Orthophoric Patients With Symptomatic, Asymmetric Vertical or Horizontal Incomitance.
Phanphruk W, Hennein L, Hunter DG
Am J Ophthalmol 2023 May;249:29-38. Epub 2022 Dec 27 doi: 10.1016/j.ajo.2022.12.019. PMID: 36581192
Acute comitant strabismus in anti-GQ1b antibody syndrome.
Lee SU, Baek SH, Kim HJ, Choi JY, Kim BJ, Kim JS
J Neurol 2023 Jan;270(1):486-492. Epub 2022 Sep 29 doi: 10.1007/s00415-022-11394-3. PMID: 36175671
Retinal Dysfunction in Patients with Congenital Fibrosis of the Extraocular Muscles Type 2.
Khan AO, Almutlaq M, Oystreck DT, Engle EC, Abu-Amero K, Bosley T
Ophthalmic Genet 2016 Jun;37(2):130-6. Epub 2014 Jun 18 doi: 10.3109/13816810.2014.926942. PMID: 24940936Free PMC Article
The Role of Extraocular Muscle Pulleys in Incomitant Non-Paralytic Strabismus.
Clark RA
Middle East Afr J Ophthalmol 2015 Jul-Sep;22(3):279-85. doi: 10.4103/0974-9233.159698. PMID: 26180464Free PMC Article
The Lancaster red-green test before and after occlusion in the evaluation of incomitant strabismus.
Hwang JM, Guyton DL
J AAPOS 1999 Jun;3(3):151-6. doi: 10.1016/s1091-8531(99)70060-1. PMID: 10428588

Diagnosis

Strabismus Surgery in Orthophoric Patients With Symptomatic, Asymmetric Vertical or Horizontal Incomitance.
Phanphruk W, Hennein L, Hunter DG
Am J Ophthalmol 2023 May;249:29-38. Epub 2022 Dec 27 doi: 10.1016/j.ajo.2022.12.019. PMID: 36581192
Acute comitant strabismus in anti-GQ1b antibody syndrome.
Lee SU, Baek SH, Kim HJ, Choi JY, Kim BJ, Kim JS
J Neurol 2023 Jan;270(1):486-492. Epub 2022 Sep 29 doi: 10.1007/s00415-022-11394-3. PMID: 36175671
Retinal Dysfunction in Patients with Congenital Fibrosis of the Extraocular Muscles Type 2.
Khan AO, Almutlaq M, Oystreck DT, Engle EC, Abu-Amero K, Bosley T
Ophthalmic Genet 2016 Jun;37(2):130-6. Epub 2014 Jun 18 doi: 10.3109/13816810.2014.926942. PMID: 24940936Free PMC Article
Orbital Causes of Incomitant Strabismus.
Lueder GT
Middle East Afr J Ophthalmol 2015 Jul-Sep;22(3):286-91. doi: 10.4103/0974-9233.159714. PMID: 26180465Free PMC Article
The Role of Extraocular Muscle Pulleys in Incomitant Non-Paralytic Strabismus.
Clark RA
Middle East Afr J Ophthalmol 2015 Jul-Sep;22(3):279-85. doi: 10.4103/0974-9233.159698. PMID: 26180464Free PMC Article

Therapy

Incidence of A pattern strabismus after inferior rectus recession in patients with Graves' orbitopathy: A retrospective multicentre study.
Jellema HM, Eckstein A, Oeverhaus M, Lacraru I, Saeed P
Acta Ophthalmol 2023 Feb;101(1):e106-e112. Epub 2022 Aug 7 doi: 10.1111/aos.15223. PMID: 35934887Free PMC Article
Surgical management of strabismus following choroidal melanoma plaque brachytherapy.
Alfreihi SH, Pineles SL, McCannel TA, Prada AM, Velez FG
J AAPOS 2017 Aug;21(4):286-290.e2. Epub 2017 Jul 18 doi: 10.1016/j.jaapos.2017.05.030. PMID: 28728906
Surgical treatment of strabismus secondary to glaucoma drainage device.
Roizen A, Ela-Dalman N, Velez FG, Coleman AL, Rosenbaum AL
Arch Ophthalmol 2008 Apr;126(4):480-6. doi: 10.1001/archopht.126.4.480. PMID: 18413516
The puzzle of autism: an ophthalmologic contribution.
Miller MT, Strömland K, Gillberg C, Johansson M, Nilsson EW
Trans Am Ophthalmol Soc 1998;96:369-85; discussion 385-7. PMID: 10360298Free PMC Article
Thalidomide embryopathy: revisited 27 years later.
Strömland K, Miller MT
Acta Ophthalmol (Copenh) 1993 Apr;71(2):238-45. doi: 10.1111/j.1755-3768.1993.tb04997.x. PMID: 8333272

Prognosis

Incidence of A pattern strabismus after inferior rectus recession in patients with Graves' orbitopathy: A retrospective multicentre study.
Jellema HM, Eckstein A, Oeverhaus M, Lacraru I, Saeed P
Acta Ophthalmol 2023 Feb;101(1):e106-e112. Epub 2022 Aug 7 doi: 10.1111/aos.15223. PMID: 35934887Free 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
The orbital pulley system: a revolution in concepts of orbital anatomy.
Demer JL
Ann N Y Acad Sci 2002 Apr;956:17-32. doi: 10.1111/j.1749-6632.2002.tb02805.x. PMID: 11960790
Restoration of fusion in children with intracranial tumors and incomitant strabismus.
Shalev B, Repka MX
Ophthalmology 2000 Oct;107(10):1880-3. doi: 10.1016/s0161-6420(00)00345-6. PMID: 11013192
Combined resection and recession of a single rectus muscle for the treatment of incomitant strabismus.
Bock CJ Jr, Buckley EG, Freedman SF
J AAPOS 1999 Oct;3(5):263-8. doi: 10.1016/s1091-8531(99)70020-0. PMID: 10532569

Clinical prediction guides

Strabismus Surgery in Orthophoric Patients With Symptomatic, Asymmetric Vertical or Horizontal Incomitance.
Phanphruk W, Hennein L, Hunter DG
Am J Ophthalmol 2023 May;249:29-38. Epub 2022 Dec 27 doi: 10.1016/j.ajo.2022.12.019. PMID: 36581192
Acute comitant strabismus in anti-GQ1b antibody syndrome.
Lee SU, Baek SH, Kim HJ, Choi JY, Kim BJ, Kim JS
J Neurol 2023 Jan;270(1):486-492. Epub 2022 Sep 29 doi: 10.1007/s00415-022-11394-3. PMID: 36175671
Retinal Dysfunction in Patients with Congenital Fibrosis of the Extraocular Muscles Type 2.
Khan AO, Almutlaq M, Oystreck DT, Engle EC, Abu-Amero K, Bosley T
Ophthalmic Genet 2016 Jun;37(2):130-6. Epub 2014 Jun 18 doi: 10.3109/13816810.2014.926942. PMID: 24940936Free PMC Article
The Role of Extraocular Muscle Pulleys in Incomitant Non-Paralytic Strabismus.
Clark RA
Middle East Afr J Ophthalmol 2015 Jul-Sep;22(3):279-85. doi: 10.4103/0974-9233.159698. PMID: 26180464Free PMC Article
Review: oculomotor cranial nerve palsies: symptoms, problems and non-surgical preoperative management of the resultant complex incomitant strabismus and monocular and binocular vision disturbances.
Khawam E, Fahed D
Binocul Vis Strabolog Q Simms Romano 2012;27(1):23-34. PMID: 22404089

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Consumer resources

    Reviews

    Related information

    • PMC Articles
      Related information in PubMed Central Links
    • PubMed
      Related literature resources in PubMed

    Recent activity

    Clear Turn Off Turn On

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...