title: Epiblepharon-induced head tilt masquerading as torticollis.
abstract: A 10-month-old girl presented for ocular evaluation carrying a provisional diagnosis of torticollis. Her family reported that for the past 5 months, she consistently tilted her head to the left while twisting her chin toward the right shoulder. Her adnexal examination was notable for epiblepharon, with greater ciliary-corneal contact in the OS. It was therefore hypothesized that this posture was adopted to minimize ocular irritation. Her symptoms resolved immediately following a Hotz-Celsus procedure. To the best of the authors' knowledge, this is the first report of asymmetric ciliary-corneal contact from epiblepharon, resulting in preference for a head position mimicking a musculoskeletal abnormality such as torticollis.
authors.affiliation: Bascom Palmer Eye Institute, Miami, Florida, U.S.A.
authors.forename: Benjamin P
authors.initials: BP
authors.lastname: Erickson
authors.forename: Wendy W
authors.initials: WW
authors.lastname: Lee
mesh_terms: D003937:Diagnosis, Differential; D005141:Eyelid Diseases / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D005143:Eyelids / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006257:Head; D006801:Humans; D007223:Infant; D013508:Ophthalmologic Surgical Procedures; D011187:Posture; D014103:Torticollis / Q000175:diagnosis*