Cyclodeviation of the retinal vascular arcades: an accessory sign of ocular torsion
- 1Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
- 2Bombay City Eye Institute and Research Centre, Mumbai, India
- Correspondence to Dr Cameron F Parsa, Department of Ophthalmology and Visual Sciences, University of Wisconsin School of Medicine and Public Health-Madison, 2870 University Avenue, Suite 206, Madison, WI 53705, USA; parsa{at}wisc.edu
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Contributors CFP conceived the idea of the article, contributed to literature search, writing the article and is the guarantor. ABK contributed to collection of data, literature search and writing the article.
- Accepted 25 March 2012
- Published Online First 12 May 2012
Abstract
Assessment of ocular torsion via fundus examination is an important tool for diagnosis and management of cyclorotational disorders. The widely used disc–macula relationship for quantification of ocular torsion possesses inherent limitations, which restricts its use in some clinical scenarios. An accessory technique of fundus examination for assessing torsion is hereby proposed using vascular cues. Retinal blood vessels share common guidance signals with ganglion cell axons and are now recognised to follow retinal axonal pathways. Identification of the axis of the retinal vascular arcades can serve as a direct and accessory means to provide additional pertinent information regarding ocular cyclorotations.
Footnotes
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Competing interests None.
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Provenance and peer review Not commissioned; externally peer reviewed.
