Hypertropia - Associated Defects

Associated Defects

Refractive errors such as hyperopia and Anisometropia may be associated abnormalities found in patients with vertical strabismus. The vertical miscoordination between the two eyes may lead to

  • Strabismic amblyopia, (due to deprivation / suppression of the deviating eye)
  • cosmetic defect (most noticed by parents of a young child and in photographs)
  • Face turn, depending on presence of binocular vision in a particular gaze
  • diplopia or double vision - more seen in adults (maturity / plasticity of neural pathways) and suppression mechanisms of the brain in sorting out the images from the two eyes.
  • Cyclotorsional deviation of the eyes (rotation around the visual axis), particularly when the root cause is an oblique muscle paresis causing the hypertropia.

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