title: Excyclotorsion in congenital fibrosis of extraocular muscles.
abstract: The authors report marked bilateral excyclotorsion contributing to loss of binocularity and leading to ipsilateral head tilt in a patient with congenital fibrosis of the extraocular muscles type 1. Neuroimaging revealed bilateral hypoplastic superior recti and levator palpebrae superioris muscles. Postoperatively, head tilt was relieved and excyclotorsion was reduced. Assessment of torsion may influence surgical strategies and outcome in patients with congenital fibrosis of the extraocular muscles.
authors.affiliation: Guru Nanak Eye Centre, Maulana Azad Medical College, University of Delhi, New Delhi, India.
authors.forename: Pramod Kumar
authors.initials: PK
authors.lastname: Pandey
authors.forename: Daraius
authors.initials: D
authors.lastname: Shroff
authors.forename: Navjot
authors.initials: N
authors.lastname: Kaur
authors.forename: Deepali
authors.initials: D
authors.lastname: Garg
authors.forename: Atul
authors.initials: A
authors.lastname: Sahu
mesh_terms: D000293:Adolescent; D000550:Amblyopia / Q000209:etiology*; D001763:Blepharoptosis / Q000151:congenital*; D005260:Female; D005355:Fibrosis / Q000151:congenital; D006257:Head; D006801:Humans; D009801:Oculomotor Muscles / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D009886:Ophthalmoplegia / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D011187:Posture; D014057:Tomography, X-Ray Computed; D014102:Torsion Abnormality / Q000209:etiology*; D014786:Vision Disorders / Q000209:etiology*; D015348:Vision, Binocular