J Clin Ophthalmol Eye Disord | Volume 2, Issue 1 | Case Report | Open Access

Exaggerated Tilt and Turn Test for the Diagnosis of Subtle Cyclovertical Deviation

Etezad-Razavi M^* and Sagheb S

Department of Ophthalmology, Mashhad University of Medical Sciences, Mashhad, Iran

^*Correspondance to: Mohammad Etezad-Razavi 

Fulltext PDF

Abstract

Superior oblique paresis/palsy is among the most common disorders encountered by an ophthalmologist in the office. Unfortunately, in some patients, recognition of vertical deviation is difficult with the commonly used three-step test. Herein, we introduce a novel modified three-step test, the exaggerated tilt and turn test, which may be helpful in the diagnosis of such subtle cases. In this novel test, after tilting the head to one side, the face is simultaneously turned to the same side and the patient is asked to fix on a distant accommodative target. In this new position, performance of the cover-uncover test could manifest any subtle hypertropia, if present, in the adducted eye

Citation:

Etezad-Razavi M, Sagheb S. Exaggerated Tilt and Turn Test for the Diagnosis of Subtle Cyclovertical Deviation. J Clin Ophthalmol Eye Disord. 2018; 2(1): 1025.