Ocular torticollis refers to an abnormal head posturing associated with an underlying ocular pathology.

Clinical features:

(1) presence of torticollis

(2) presence of an ophthalmic disorder

(3) correction of the torticollis after correcting the eye disorder

(4) exclusion of other causes of torticollis (congenital, acquired)


The abnormal head position may be done to improve visual acuity or to maintain binocular single vision.


Eye conditions may include:

(1) incomitant strabismus (the angle of deviation changes in different positions of gaze)

(2) synostotic plagiocephaly with pseudoparalysis of the superior oblique muscle

(3) trochlear nerve palsy

(4) Brown syndrome

(5) refractive errors

(6) congenital nystagmus

(7) dissociated vertical deviation

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