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Emergence of diplopia and oscillopsia due to Heimann-Bielschowsky phenomenon after cataract surgery

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Authors
Jeong, S-H; Oh, Y-M; Hwang, J-M; Kim, J S
Issue Date
2008-09-26
Publisher
BMJ Publishing Group
Citation
Br J Ophthalmol 2008;92(10):1402
Keywords
Amblyopia/complicationsCataract Extraction/*adverse effectsDiplopia/*etiologyEye MovementsHumansMaleOcular Motility Disorders/*etiologyPostoperative Complications/*etiologyTreatment OutcomeVisual Acuity
Abstract
The Heimann-Bielschowsky phenomenon (HBP) refers to coarse vertical oscillation of the eye with impaired vision. The ocular movements are strictly monocular, occurring only in the eye with amblyopia. The vertical oscillation is of equal velocity in both vertical directions, or may sometimes be greater in the downward than upward direction. HBP develops several years after loss of vision. It can be differentiated from dissociated nystagmus in spasmus nutans, congenital nystagmus and internuclear ophthalmoplegia based on the strict unilaterality, vertical direction and low frequency. Previously, only a few reports described the development of oscillopsia due to HBP after cataract surgery, which resolved spontaneously or responded to gabapentin. However, visual impairments due to diplopia or oscillopsia from HBP after cataract surgery have received little attention. We report a man who developed persistent vertical diplopia and oscillopsia due to HBP after a cataract operation, which markedly impaired his vision.
ISSN
1468-2079 (Electronic)
Language
English
URI
http://hdl.handle.net/10371/62017
DOI
https://doi.org/10.1136/bjo.2007.135624
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Neurology (신경과학교실)Journal Papers (저널논문_신경과학교실)
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