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Hyperdeviation

MedGen UID:
1630968
•Concept ID:
C4068932
•
Disease or Syndrome
HPO: HP:0025587

Definition

A type of strabismus in which the visual axis of one eye is higher than that of the other. [from HPO]

Term Hierarchy

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

Professional guidelines

PubMed

Deficiency of depression in adduction: clinical characteristics and surgical management of the "inverted Brown pattern".
Marsh JD, Yilmaz PT, Guyton DL
J AAPOS 2016 Feb;20(1):7-11. doi: 10.1016/j.jaapos.2015.10.011. PMID: 26917064
Superior oblique palsy: diagnosis and treatment.
Flanders M, Draper J
Can J Ophthalmol 1990 Feb;25(1):17-24. PMID: 2328432

Recent clinical studies

Etiology

Inferior oblique anterior transposition according to a different grading scale for hyperdeviation with inferior oblique overaction.
Gunduz A, Ozturk E, Firat M
Can J Ophthalmol 2023 Aug;58(4):287-294. Epub 2022 Mar 10 doi: 10.1016/j.jcjo.2022.02.006. PMID: 35278372
Approach to patient with diplopia.
Margolin E
J Neurol Sci 2020 Oct 15;417:117055. Epub 2020 Aug 5 doi: 10.1016/j.jns.2020.117055. PMID: 32777577
Effect of inferior oblique anterior transposition in correcting vertical hyperdeviation in primary position.
Gunduz A, Fırat M, Ozsoy E, Cankaya C
Can J Ophthalmol 2019 Feb;54(1):75-82. Epub 2018 Apr 2 doi: 10.1016/j.jcjo.2018.01.035. PMID: 30851778
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
Interventions for dissociated vertical deviation.
Hatt SR, Wang X, Holmes JM
Cochrane Database Syst Rev 2015 Nov 20;2015(11):CD010868. doi: 10.1002/14651858.CD010868.pub2. PMID: 26587695Free PMC Article

Diagnosis

Inferior oblique anterior transposition according to a different grading scale for hyperdeviation with inferior oblique overaction.
Gunduz A, Ozturk E, Firat M
Can J Ophthalmol 2023 Aug;58(4):287-294. Epub 2022 Mar 10 doi: 10.1016/j.jcjo.2022.02.006. PMID: 35278372
How Lingering Fusional Adaptation Influences the Bielschowsky Head Tilt Test in Superior Oblique Paresis.
Irsch K, Guyton DL, Ying HS
Klin Monbl Augenheilkd 2022 Oct;239(10):1213-1220. Epub 2022 Oct 18 doi: 10.1055/a-1933-3223. PMID: 36257303
Role of a Standardized Prism Under Cover Test in the Assessment of Dissociated Vertical Deviation.
Klaehn LD, Hatt SR, Leske DA, Holmes JM
Strabismus 2018 Mar;26(1):1-5. Epub 2018 Feb 2 doi: 10.1080/09273972.2017.1391850. PMID: 29393712Free PMC Article
Eye hyperdeviation in mouse cerebellar mutants is comparable to the gravity-dependent component of human downbeat nystagmus.
Stahl JS, Oommen BS
Prog Brain Res 2008;171:503-8. doi: 10.1016/S0079-6123(08)00672-9. PMID: 18718346
Vertical misalignment in unilateral sixth nerve palsy.
Wong AM, Tweed D, Sharpe JA
Ophthalmology 2002 Jul;109(7):1315-25. doi: 10.1016/s0161-6420(02)01067-9. PMID: 12093657

Therapy

Ocular motility changes and diplopia in sutured versus unsutured implantation of the Baerveldt glaucoma device.
Islamaj E, Jordaan-Kuip CP, De Waard PWT, Vermeer KA, Lemij HG
Acta Ophthalmol 2021 Sep;99(6):e949-e955. Epub 2021 Feb 11 doi: 10.1111/aos.14707. PMID: 33576161Free PMC Article
Interventions for dissociated vertical deviation.
Hatt SR, Wang X, Holmes JM
Cochrane Database Syst Rev 2015 Nov 20;2015(11):CD010868. doi: 10.1002/14651858.CD010868.pub2. PMID: 26587695Free PMC Article
Inferior oblique transposition onto the equator: the role of the equator in development of contralateral inferior oblique overaction.
Kim SH, Na JH, Cho YA
J Pediatr Ophthalmol Strabismus 2012 Mar-Apr;49(2):98-102. Epub 2011 Aug 16 doi: 10.3928/01913913-20110809-02. PMID: 21838213
Unilateral inferior oblique muscle myectomy and recession in the treatment of inferior oblique muscle overaction: a longitudinal study.
Shipman T, Burke J
Eye (Lond) 2003 Nov;17(9):1013-8. doi: 10.1038/sj.eye.6700488. PMID: 14704751
Childhood ocular myasthenia gravis.
Kim JH, Hwang JM, Hwang YS, Kim KJ, Chae J
Ophthalmology 2003 Jul;110(7):1458-62. doi: 10.1016/S0161-6420(03)00460-3. PMID: 12867410

Prognosis

Ocular motility changes and diplopia in sutured versus unsutured implantation of the Baerveldt glaucoma device.
Islamaj E, Jordaan-Kuip CP, De Waard PWT, Vermeer KA, Lemij HG
Acta Ophthalmol 2021 Sep;99(6):e949-e955. Epub 2021 Feb 11 doi: 10.1111/aos.14707. PMID: 33576161Free PMC Article
Effect of inferior oblique anterior transposition in correcting vertical hyperdeviation in primary position.
Gunduz A, Fırat M, Ozsoy E, Cankaya C
Can J Ophthalmol 2019 Feb;54(1):75-82. Epub 2018 Apr 2 doi: 10.1016/j.jcjo.2018.01.035. PMID: 30851778
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
Eye hyperdeviation in mouse cerebellar mutants is comparable to the gravity-dependent component of human downbeat nystagmus.
Stahl JS, Oommen BS
Prog Brain Res 2008;171:503-8. doi: 10.1016/S0079-6123(08)00672-9. PMID: 18718346
Superior oblique palsy: diagnosis and treatment.
Flanders M, Draper J
Can J Ophthalmol 1990 Feb;25(1):17-24. PMID: 2328432

Clinical prediction guides

Inferior oblique anterior transposition according to a different grading scale for hyperdeviation with inferior oblique overaction.
Gunduz A, Ozturk E, Firat M
Can J Ophthalmol 2023 Aug;58(4):287-294. Epub 2022 Mar 10 doi: 10.1016/j.jcjo.2022.02.006. PMID: 35278372
Approach to patient with diplopia.
Margolin E
J Neurol Sci 2020 Oct 15;417:117055. Epub 2020 Aug 5 doi: 10.1016/j.jns.2020.117055. PMID: 32777577
Effect of inferior oblique anterior transposition in correcting vertical hyperdeviation in primary position.
Gunduz A, Fırat M, Ozsoy E, Cankaya C
Can J Ophthalmol 2019 Feb;54(1):75-82. Epub 2018 Apr 2 doi: 10.1016/j.jcjo.2018.01.035. PMID: 30851778
Eye hyperdeviation in mouse cerebellar mutants is comparable to the gravity-dependent component of human downbeat nystagmus.
Stahl JS, Oommen BS
Prog Brain Res 2008;171:503-8. doi: 10.1016/S0079-6123(08)00672-9. PMID: 18718346
Childhood ocular myasthenia gravis.
Kim JH, Hwang JM, Hwang YS, Kim KJ, Chae J
Ophthalmology 2003 Jul;110(7):1458-62. doi: 10.1016/S0161-6420(03)00460-3. PMID: 12867410

Recent systematic reviews

Interventions for dissociated vertical deviation.
Hatt SR, Wang X, Holmes JM
Cochrane Database Syst Rev 2015 Nov 20;2015(11):CD010868. doi: 10.1002/14651858.CD010868.pub2. PMID: 26587695Free PMC Article

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