Eye Fixation in Patients with Dissociated Vertical Diviation.

Kim, Ji Eob; Lee, Jong Hyuck; Rah, Sang Hoon

doi:2014.55.6.882

J Korean Ophthalmol Soc > Volume 55(6); 2014 > Article

Original Article

Journal of the Korean Ophthalmological Society 2014;55(6):882-886.
DOI: https://doi.org/10.3341/jkos.2014.55.6.882 Published online June 15, 2014.

Eye Fixation in Patients with Dissociated Vertical Diviation.

Ji Eob Kim, Jong Hyuck Lee, Sang Hoon Rah

Department of Ophthalmology, Yonsei University Wonju College of Medicine, Wonju, Korea. shrah@yonsei.ac.kr

해리수직편위 환자에서 주시안에 대한 통계적 고찰

김지업⋅이종혁⋅나상훈

Department of Ophthalmology, Yonsei University Wonju College of Medicine, Wonju, Korea

Abstract

PURPOSE
To clinically determine the proportion of people with a fixed dissociating eye in patients with dissociated vertical deviation (DVD). METHODS: Medical records of 86 patients diagnosed with DVD in our department of ophthalmology from 2001 to November 2011 were retrospectively analyzed. RESULTS: Of the 71 patients, 25 (35.21%) showed a higher degree of dissociation in the fixating eye, 26 (36.62%) had higher dissociation in the non-fixating eye; 20 of 25 patients with a higher level of dissociation in the fixating eye and 22 of 26 patients with a higher level of dissociation in the non-fixating eye received surgical correction for DVD, such as superior rectus muscle recession or inferior oblique muscle anterior transposition. CONCLUSIONS: In DVD, the proportion of patients showing a higher level of dissociation in the fixating eye was significant. Patients with DVD require thorough evaluation; measurement of the level of dissociation and determination of the fixating eye is beneficial for management and surgical intervention.

Key Words: Dissociated vertical deviation (DVD);Fixating eye