Heimann-Bielschowsky phenomenon and hypotropic DVD in case of monocular vision loss: a case report

Abstract Background The Heimann-Bielschowsky phenomenon (HBP) is an underrecognized condition characterized by slow, pendular, vertical oscillations of the eye accompanying monocular vision loss. Hypotropic dissociated vertical deviation (DVD) is another rare condition induced by asymmetric visual i...

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Main Authors: Hyung Jun Choi, Bo Young Chun
Format: Article
Language:English
Published: BMC 2020-06-01
Series:BMC Ophthalmology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12886-020-01502-0
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author Hyung Jun Choi
Bo Young Chun
author_facet Hyung Jun Choi
Bo Young Chun
author_sort Hyung Jun Choi
collection DOAJ
description Abstract Background The Heimann-Bielschowsky phenomenon (HBP) is an underrecognized condition characterized by slow, pendular, vertical oscillations of the eye accompanying monocular vision loss. Hypotropic dissociated vertical deviation (DVD) is another rare condition induced by asymmetric visual input. This report documents a rare case of HBP with hypotropic DVD. Case presentation This report describes a case of a 58-year-old woman with HBP and hypotropic DVD, having suffered monocular vision loss in the left eye due to blunt trauma at the age of 10. Preoperatively, she was orthophoric at near fixation and demonstrated an intermittent, slow hypotropia of the left eye upon distance fixation that never rose above the midline. She underwent a 7 mm recession of the inferior rectus muscle in the left eye. After surgery, intermittent, downward drifts became constant vertical oscillations at both distance and near fixation. Conclusions This case describes the clinical manifestation of an eye movement disorder related to prolonged monocular vision loss.
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spelling doaj.art-7ae55cb217124389b4e04b913eacf9f92022-12-22T00:05:04ZengBMCBMC Ophthalmology1471-24152020-06-012011410.1186/s12886-020-01502-0Heimann-Bielschowsky phenomenon and hypotropic DVD in case of monocular vision loss: a case reportHyung Jun Choi0Bo Young Chun1Department of Ophthalmology, School of Medicine, Kyungpook National UniversityDepartment of Ophthalmology, School of Medicine, Kyungpook National UniversityAbstract Background The Heimann-Bielschowsky phenomenon (HBP) is an underrecognized condition characterized by slow, pendular, vertical oscillations of the eye accompanying monocular vision loss. Hypotropic dissociated vertical deviation (DVD) is another rare condition induced by asymmetric visual input. This report documents a rare case of HBP with hypotropic DVD. Case presentation This report describes a case of a 58-year-old woman with HBP and hypotropic DVD, having suffered monocular vision loss in the left eye due to blunt trauma at the age of 10. Preoperatively, she was orthophoric at near fixation and demonstrated an intermittent, slow hypotropia of the left eye upon distance fixation that never rose above the midline. She underwent a 7 mm recession of the inferior rectus muscle in the left eye. After surgery, intermittent, downward drifts became constant vertical oscillations at both distance and near fixation. Conclusions This case describes the clinical manifestation of an eye movement disorder related to prolonged monocular vision loss.http://link.springer.com/article/10.1186/s12886-020-01502-0Heimann-Bielschowsky phenomenonHypotropic DVDMonocular vision lossCase report
spellingShingle Hyung Jun Choi
Bo Young Chun
Heimann-Bielschowsky phenomenon and hypotropic DVD in case of monocular vision loss: a case report
BMC Ophthalmology
Heimann-Bielschowsky phenomenon
Hypotropic DVD
Monocular vision loss
Case report
title Heimann-Bielschowsky phenomenon and hypotropic DVD in case of monocular vision loss: a case report
title_full Heimann-Bielschowsky phenomenon and hypotropic DVD in case of monocular vision loss: a case report
title_fullStr Heimann-Bielschowsky phenomenon and hypotropic DVD in case of monocular vision loss: a case report
title_full_unstemmed Heimann-Bielschowsky phenomenon and hypotropic DVD in case of monocular vision loss: a case report
title_short Heimann-Bielschowsky phenomenon and hypotropic DVD in case of monocular vision loss: a case report
title_sort heimann bielschowsky phenomenon and hypotropic dvd in case of monocular vision loss a case report
topic Heimann-Bielschowsky phenomenon
Hypotropic DVD
Monocular vision loss
Case report
url http://link.springer.com/article/10.1186/s12886-020-01502-0
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