A Case Study and Literature Review of Coexisting Dissociated Vertical and Horizontal Deviations
Cassandra Norris, BSc BA MOrth 1
Linda Santamaria, MAppSc DipAppSc(Orth) 2
1 Department of Clinical Vision Sciences, La Trobe University, Melbourne, Australia
2 Department of Surgery, Monash University, Melbourne, Australia
Adequate treatment of dissociated deviations has eluded eye care professionals since its discovery in 1895. This case-based investigation presents a review of the various treatment methods that have been advocated for both dissociated vertical and dissociated horizontal deviations, particularly in the presence of a consecutive exotropia and inferior oblique overaction. This difficult case provided an excellent opportunity to elucidate how surgery options change in the presence of multiple ocular anomalies.