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KMID : 0360220140550060882
Journal of the Korean Ophthalmological Society
2014 Volume.55 No. 6 p.882 ~ p.886
Eye Fixation in Patients with Dissociated Vertical Diviation
Kim Ji-Eob

Lee Jong-Hyuck
Rah Sang-Hoon
Abstract
Purpose: To clinically determine the proportion of people with a fixed dissociating eye in patients with dissociated vertical deviation (DVD).

Methods: Medical records of 86 patients diagnosed with DVD in our department of ophthalmology from 2001 to November 2011 were retrospectively analyzed.

Results: Of the 71 patients, 25 (35.21%) showed a higher degree of dissociation in the fixating eye, 26 (36.62%) had higher dissociation in the non-fixating eye; 20 of 25 patients with a higher level of dissociation in the fixating eye and 22 of 26 patients with a higher level of dissociation in the non-fixating eye received surgical correction for DVD, such as superior rectus muscle recession or inferior oblique muscle anterior transposition.

Conclusions: In DVD, the proportion of patients showing a higher level of dissociation in the fixating eye was significant. Patients with DVD require thorough evaluation; measurement of the level of dissociation and determination of the fixating eye is beneficial for management and surgical intervention.
KEYWORD
Dissociated vertical deviation (DVD), Fixating eye
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