Abstract
The ocular tilt reaction is a rare neuro-ophthalmological phenomenon commonly occurring due to an injury to the vestibulo-ocular pathway, or a thalamic, brainstem, or cerebellar lesion. Most ocular tilt reactions are transient and demonstrate spontaneous recovery. This report documents the immediate resolution of diplopia and the patient’s ocular tilt reaction following visual recovery from left yttrium aluminum garnet laser capsulotomy.
Highlights
The ocular tilt reaction (OTR) is an acquired vertical misalignment and conjugate rotation of the eyes with ipsilateral head and neck tilt [1]
The OTR indicates an injury to the vestibulo-ocular pathways, commonly a unilateral peripheral deficit of the otolithic input, and may occur with any lesion of the brainstem or cerebellum or with vestibular neuritis [2,3]
The OTR may relate to a unilateral lesion or infarction of the graviceptive brainstem pathways from the vestibular nucleus to the interstitial nucleus of Cajal in the rostral midbrain [2,4]
Summary
The ocular tilt reaction (OTR) is an acquired vertical misalignment (skew deviation) and conjugate rotation (cyclotorsion) of the eyes with ipsilateral head and neck tilt [1]. A 78-year-old man presented with a four-month history of binocular diplopia He reported that horizontal and vertical lines appeared “tilted” when looking through the left eye compared with the right eye. His previous ophthalmological history included bilateral pseudophakia eight years prior, and a right YAG laser posterior capsulotomy performed three months prior to presentation. He had photographs from his teenage school years which documented a modest left head tilt. There was still a residual mild left head tilt
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
