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  • Title: Hypotropic dissociated vertical deviation; a case report.
    Author: Rajavi Z, Feizi M, Haftabadi N, Sheibani K.
    Journal: J Ophthalmic Vis Res; 2013 Jul; 8(3):271-3. PubMed ID: 24349672.
    Abstract:
    PURPOSE: To report the clinical features of a rare case of hypotropic dissociated vertical deviation (DVD). CASE REPORT: A 25-year-old female was referred with unilateral esotropia, hypotropia and slow variable downward drift in her left eye. She had history of esotropia since she had been 3-4 months of age. Best corrected visual acuity was 20/20 in her right eye and 20/40 in the left one when hyperopia was corrected. She underwent bimedial rectus muscle recession of 5.25mm for 45 prism diopters (PDs) of esotropia. She was orthophoric 3 months after surgery and no further operation was planned for correction of the hypotropic DVD. CONCLUSION: This rare case of hypotropic DVD showed only mild amblyopia in her non-fixating eye. The etiology was most probably acquired considering hyperopia as a sign of early onset accommodative esotropia.
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