What is it?

Ocular torticollis is a condition in which ocular abnormality is compensated by an abnormal head posture. The head posture is an effort to optimize vision and/or to maintain binocularity. It typically manifests in childhood, but can appear at any age. Ocular torticollis may result from infantile nystagmus syndrome, ptosis, monocular blindness, motility disorders such as esotropia or exotropia and strabismus.

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Signs & symptoms

Symptoms of ocular torticollis may include head tilt, face turn, chin elevation or depression.


Diagnosis of ocular torticollis is primarily by medical history and physical examination,for example, by measuring the degree of head tilt and face turn. Further examination can identify nystagmus and ptosis. A dilated fundus examination may also be helpful for evaluating torsion. Retinoscopy can also be performed to assess other elements.


Treatment of ocular torticollis depends on the underlying cause and is important to prevent musculoskeletal changes such as neck and facial asymmetry. Surgery may be needed.

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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