DVD--a conceptual, clinical, and surgical overview

Alex Christoff; Edward L Raab; David L Guyton; Michael C Brodsky; Katherine J Fray; Kimberly Merrill; Claire C Hennessey; Erick D Bothun; David G Morrison

doi:10.1016/j.jaapos.2014.03.009

DVD--a conceptual, clinical, and surgical overview

J AAPOS. 2014 Aug;18(4):378-84. doi: 10.1016/j.jaapos.2014.03.009.

Authors

Alex Christoff¹, Edward L Raab², David L Guyton³, Michael C Brodsky⁴, Katherine J Fray⁵, Kimberly Merrill⁶, Claire C Hennessey⁷, Erick D Bothun⁸, David G Morrison⁹

Affiliations

¹ The Krieger Children's Eye Center at the Wilmer Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: [email protected].
² Departments of Ophthalmology and Pediatrics, Icahn School of Medicine at Mount Sinai, New York. Electronic address: [email protected].
³ The Krieger Children's Eye Center at the Wilmer Institute, The Johns Hopkins University School of Medicine, Baltimore, Maryland.
⁴ Department of Ophthalmology and Neurology, Mayo Clinic, Rochester, Minnesota.
⁵ University of Arkansas Medical Center and Arkansas Children's Hospital, Little Rock, Arkansas.
⁶ Departments of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, Minnesota.
⁷ Children's Eye Center of South Texas, San Antonio, Texas.
⁸ Departments of Ophthalmology and Visual Neurosciences, University of Minnesota, Minneapolis, Minnesota; Deparment of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
⁹ Departments of Ophthalmology and Pediatrics, Vanderbilt University, Nashville, Tennessee.

PMID: 25173903
DOI: 10.1016/j.jaapos.2014.03.009

Abstract

Dissociated vertical deviation (DVD) is a slow, disconjugate hypertropic deviation of a nonfixating eye. It is usually bilateral, asymmetrical, and often associated with congenital esotropia. The deviating eye elevates, abducts, and excyclotorts. This type of strabismus is often variable, making measurement and clinical quantification difficult. Specific knowledge of the mechanisms and characteristics of the dissociated deviation are required for proper assessment and effective treatment. There is currently no consensus on the mechanisms and pathophysiology of DVD. In this workshop, participants discuss the characteristics and most current methods for assessing and quantifying the deviation and explore the potential etiologies, clinical characteristics, and indications for surgical intervention and nonsurgical management of DVD.

Publication types

Review

MeSH terms

Diagnostic Techniques, Ophthalmological
Eye Movements / physiology*
Fixation, Ocular / physiology
Humans
Oculomotor Muscles / physiopathology*
Oculomotor Muscles / surgery
Ophthalmologic Surgical Procedures*
Strabismus* / diagnosis
Strabismus* / physiopathology
Strabismus* / surgery
Vision, Binocular / physiology*