Table 1
Clinical Findings
| Group 1: Head tilt toward from side of fixing eye | ||||||
|---|---|---|---|---|---|---|
| Case | Age BMR performed | Direction of head tilt/age first noted | DVD characteristics | Head tilt test | Sensory | Response to patch test and to treatment |
| 1 | 4 years | Left/postop | R>L | NP | Bagolini - ARC; Randot - no stereopsis | Head tilt resolved with patching OS but not OD |
| 2 | 4 years | Left/postop | R>L | NP | Bagolini - ARC; Randot - no stereopsis | NP |
| 3 | 21 months | Right/18 months | L>R | NP | Titmus - negative | Head tilt resolved with patching OD but not OS; symmetrical SR rec - NI |
| 4 | 12 months | Left/25 months | R>L | ↑ RHT with left head tilt; RHT resolves with right head tilt | Bagolini - ARC; W4D - supp OD | Head tilt resolved with patching OS but not OD |
| 5 | 11 months | Right/18 months | L>R | LHT persists with head tilt to right | Bagolini - ARC; Titmus+fly W4D fusion | Head tilt resolved with patching; LHT resolved with LIOAP |
| Group 2: Head tilt toward side of hyperdeviating eye | ||||||
|---|---|---|---|---|---|---|
| M, male; F, female; —, unknown; NP, not performed; L, left; R, right; ↑, increased; ↓, decreased; DMR, Double Maddox Rod; LHT, left hyperdeviation; RHT, right hyperdeviation; NI, no improvement; BMR, bimedial recession; W4D, Worth Four Dot; sec/arc, seconds of arc; NRC, normal retinal correspondence; ARC, anomalous retinal correspondence; int supp, intermittent suppression; alt supp, alternate suppression; IOAP, inferior oblique anteroplacement; SV, subjective vertical; postop, noted shortly after surgery; rec, recession; res, resection. | ||||||
| 6 | 11 months | Left/18 months | L>R | ↑ LHT with right head tilt resolves with left head tilt | DMR - no torsion; Bagolini - int supp OD; Titmus 100 sec/arc; W4D vertical diplopia | Vertical prisms eliminated head tilt; BSR+RIRres reduced head tilt |
| 7 | 7 months | Right/18 months | R>L | ↑ RHT with left head tilt; ↓ RHT with right head tilt | Bagolini - NRC; W4D - alt supp; Titmus+fly | NP |
| 8 | 11 months | Right/postop | R>L | ↑ RHT with left head tilt; ↓ RHT with right head tilt | Bagolini - ARC with int supp OS; Titmus 100 sec/arc; W4D -int supp OD | Head tilt decreased; RLRrec; LIRrec |
| 9 | 1 year | Right/postop | R>L | ↓ RHT with right head tilt; ↑ RHT with left head tilt | Bagolini ARC | Symmetrical BSR rec - NI |
