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September 1956

Scoliosis and Vertical Ocular Muscle Imbalance

Author Affiliations

Kresge Eye Institute.

AMA Arch Ophthalmol. 1956;56(3):389-414. doi:10.1001/archopht.1956.00930040397007

The term "ocular torticollis" has existed in the ophthalmologic literature since Cuignet1 first introduced it in 1873. However, only a few authors * have ever bothered to mention the total spinal disalignment which occurs with vertical ocular muscle imbalance.

In this paper a selected series † of cases will be presented to illustrate the spinal scoliosis that is produced when a vertical muscle weakness is present from birth.

Report of Cases 

Case 1.  —A 24-year-old white man presented himself with the history that he had been able to produce double vision when looking to the right for as long as he could remember. He stated that he normally suppressed diplopia but could produce it at will. The patient has no other eye complaints, but he has noted a head tilt to the right for many years. A routine physical examination in March, 1952, revealed a scoliosis of the spine. Past