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J AAPOS. 2014 Oct;18(5):498-500. doi: 10.1016/j.jaapos.2014.06.015. Epub 2014 Sep 27.

Fixation-linked nondissociated hypotropia: a report of 3 cases.

Author information

1
Narayana Nethralaya, Bangalore, Karnataka, India. Electronic address: jyoti.matalia@gmail.com.
2
Narayana Nethralaya, Bangalore, Karnataka, India.
3
The Private Eye Clinic, East Melbourne, Victoria 3002, Australia.

Abstract

Fixation-linked hypotropia, or hypotropic dissociated vertical deviation, is a rare but well-defined ocular motility disorder characterized by a slow downward drift of a poor-seeing eye when the other eye is fixating on a distant target. It can be successfully treated with a large recession or recession-resection of the inferior rectus muscle. We report 3 cases of fixation-linked nondissociated hypotropia with unilateral high myopia and amblyopia presenting with intermittent hypotropia of the worse-seeing eye when the dominant eye was fixating on a distant target and a hypertropia of the dominant eye when the poorer-seeing eye was made to fix. We discuss the surgical management of one of these patients.

PMID:
25266837
DOI:
10.1016/j.jaapos.2014.06.015
[Indexed for MEDLINE]

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