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Cyclotropia

Disease Details

Family Health Simplified

Description
Cyclotropia is a form of strabismus where one eye is rotated around its visual axis, causing misalignment and potential vision problems.
Type
Cyclotropia is a type of strabismus where there is a misalignment of the eyes characterized by a rotational deviation. It is not typically associated with a specific type of genetic transmission, as it can be caused by various factors including trauma, neurological conditions, or other ocular issues. In some cases, there may be a genetic predisposition, but there is no well-defined pattern of genetic inheritance for cyclotropia.
Signs And Symptoms
Cyclotropia, also known as rotational strabismus, involves a misalignment of the eyes where one eye rotates around its visual axis.

**Signs and Symptoms:**
- **Tilted vision:** Individuals may perceive objects as tilted or rotated.
- **Double vision:** Also known as diplopia, patients might see two images of a single object.
- **Eye strain:** Discomfort and fatigue in the eyes, especially after reading or focusing on tasks for extended periods.
- **Head tilt:** A habitual tilt of the head may be observed as the person tries to compensate for the misalignment.
- **Difficulty with depth perception:** Challenges in accurately judging the distance between objects.
- **Disorientation:** A feeling of dizziness or imbalance, which can affect coordination and spatial awareness.

If you or someone else is experiencing these symptoms, it's important to consult an eye care professional for diagnosis and appropriate management.
Prognosis
Cyclotropia, also known as cyclodeviation, is a form of strabismus involving a rotational misalignment of the eyes. The prognosis for cyclotropia can vary depending on several factors, including the cause, severity, and the patient's age at diagnosis.

When detected and treated early, especially in children, the prognosis tends to be better. Treatment options may include vision therapy, the use of prisms in glasses, and in some cases, surgical intervention to correct the eye muscle alignment. Adults diagnosed with cyclotropia might experience more persistent visual symptoms and may require ongoing management.

Overall, while some individuals may achieve significant improvement with appropriate treatment, others may continue to experience some degree of visual disturbance. Regular follow-up with an eye care professional is essential for monitoring and managing the condition effectively.
Onset
The onset of cyclotropia can vary depending on the underlying cause. It can be congenital, meaning present at birth, or acquired later in life due to conditions such as trauma, disease, or nerve damage. Cyclotropia involves a misalignment of the eyes where one eye rotates around its visual axis, leading to double vision or other visual disturbances.
Prevalence
Cyclotropia, a form of strabismus characterized by the cyclorotation of one eye, is relatively rare. Exact prevalence rates are not well-documented, but it is less common compared to other types of strabismus. Cyclotropia can be congenital or acquired, often related to trauma, surgery, or neuro-ophthalmic conditions. Accurate prevalence data are limited due to its rarity.
Epidemiology
Cyclotropia, a type of strabismus where one eye is rotated about its visual axis, lacks comprehensive epidemiological data due to its relatively uncommon occurrence. However, it is often associated with other forms of strabismus and can manifest following trauma, surgical procedures, or neurological conditions affecting ocular muscles. Accurate statistics on its prevalence and incidence are limited.
Intractability
Cyclotropia, a form of strabismus where one eye is rotated around its visual axis, is not necessarily intractable. Treatment options include corrective lenses, vision therapy, and in some cases, surgery. The effectiveness of treatment varies depending on the severity and underlying cause of the condition. Early diagnosis and intervention can improve outcomes.
Disease Severity
Cyclotropia refers to a type of strabismus where one eye rotates around its visual axis, leading to misalignment of the eyes. It can cause double vision, disorientation, and difficulty with depth perception. The severity of cyclotropia can vary widely based on the angle of rotation and the ability of the patient to compensate for the misalignment.
Healthcare Professionals
Disease Ontology ID - DOID:9838
Pathophysiology
Cyclotropia, a type of strabismus, involves the misalignment of the eyes where one eye rotates around its visual axis, either inward (intorsion) or outward (extorsion). Pathophysiologically, this condition often results from an imbalance or dysfunction in the extraocular muscles responsible for eye rotation, particularly the oblique muscles. It can be caused by congenital factors, trauma, nerve palsies, or conditions affecting the tendons and muscles like myasthenia gravis. The misalignment disrupts normal binocular vision and may lead to symptoms like double vision and difficulties with depth perception.
Carrier Status
Cyclotropia, also known as rotational strabismus, involves the abnormal rotation of one eye around its visual axis. It is typically not considered a genetic condition with a defined carrier status, so "nan" or "not applicable" is appropriate in this context.
Mechanism
Cyclotropia, also known as rotational strabismus, is an abnormal condition where one eye or both eyes are rotated around the visual axis. This results in misalignment that is most noticeable when the head is tilted.

**Mechanism:**
Cyclotropia occurs due to an imbalance in the muscles controlling eye rotation, specifically the oblique muscles. The superior and inferior oblique muscles are responsible for intorsion (inward rotation) and extorsion (outward rotation) of the eye, respectively. If these muscles do not function properly or are weakened, it can lead to rotation of the eye, causing cyclotropia.

**Molecular Mechanisms:**
The molecular mechanisms underlying cyclotropia are not fully understood, but several factors may contribute:

1. **Genetic Factors:** Mutations or genetic variations affecting the development and function of extraocular muscles and their innervation can lead to cyclotropia. For example, anomalies in the genes involved in muscle formation and nerve connections can affect the oblique muscles' functionality.

2. **Neuromuscular Junction:** Defects at the neuromuscular junction, where nerve cells communicate with muscle fibers, may impair the transmission of signals required for proper muscle contraction and coordination.

3. **Neuroplasticity:** Abnormal neuroplastic changes in the brain regions responsible for eye movement control can also be a factor. Disruption in the neural pathways that coordinate ocular muscle activity can result in imbalanced muscle actions, leading to cyclotropia.

4. **Mitochondrial Defects:** Mitochondrial dysfunction in extraocular muscles may result in inadequate energy supply required for muscle contraction and maintenance, which can contribute to cyclotropia.

5. **Extracellular Matrix (ECM) Components:** Abnormalities in ECM components that provide structural support to the muscles and surrounding tissues might affect the stability and function of the ocular muscles.

Understanding these molecular mechanisms in greater detail might lead to improved diagnosis and targeted therapies for cyclotropia. Research in these areas continues to be important for uncovering the precise molecular pathways involved.
Treatment
If only small amounts of torsion are present, cyclotropia may be without symptoms entirely and may not need correction, as the visual system can compensate small degrees of torsion and still achieve binocular vision (see also: cyclodisparity, cyclovergence). The compensation can be a motor response (visually evoked cyclovergence) or can take place during signal processing in the brain. In patients with cyclotropia of vascular origin, the condition often improves spontaneously.Cyclotropia cannot be corrected with prism spectacles in the way other eye position disorders are corrected. (Nonetheless two Dove prisms can be employed to rotate the visual field in experimental settings.)
For cyclodeviations above 5 degrees, surgery has normally been recommended. Depending on the symptoms, the surgical correction of cyclotropia may involve a correction of an associated vertical deviation (hyper- or hypotropia), or a Harada–Ito procedure or another procedure to rotate the eye inwards, or yet another procedure to rotate it outwards. A cyclodeviation may thus be corrected at the same time with a correction of a vertical deviation (hyper- or hypotropia); cyclodeviations without any vertical deviation can be difficult to manage surgically, as the correction of the cyclodeviation may introduce a vertical deviation.
Compassionate Use Treatment
Cyclotropia is a form of strabismus where one eye drifts or rotates inward or outward. Treatment is primarily surgical or corrective lenses, but in terms of compassionate use, off-label, or experimental treatments:

1. **Botulinum Toxin Injections**: Botulinum toxin (commonly known as Botox) is sometimes used off-label for various forms of strabismus, including cyclotropia. It temporarily paralyzes muscles to correct misalignment.

2. **Prism Lenses**: Off-label use of prism lenses can help manage double vision associated with cyclotropia by adjusting the visual input to the brain.

3. **Vision Therapy**: Although typically used for other types of visual issues, vision therapy might be explored experimentally for cyclotropia to strengthen ocular muscles and improve coordination.

4. **Adjustable Sutures in Surgery**: This method involves adjustable sutures during strabismus surgery, allowing for post-operative adjustment to optimize eye alignment. It is not considered experimental but is a more nuanced surgical approach that might still fall under off-label considerations depending on specific use cases.

5. **Gene Therapy**: While not currently standard, there is ongoing research into genetic factors of strabismus, which could lead to experimental gene therapies in the future.

It's important to consult with a specialist for the most appropriate and updated treatment options.
Lifestyle Recommendations
Cyclotropia is a form of strabismus where one eye is rotated around its visual axis. Here are some lifestyle recommendations:

1. **Regular Eye Exams**: Regular check-ups with an ophthalmologist or optometrist can help monitor the condition and adapt the treatment plan as needed.

2. **Vision Therapy**: Engage in vision therapy exercises as recommended by your eye care professional. These exercises can improve eye coordination and perception.

3. **Proper Lighting**: Ensure good lighting when reading or doing close-up work to reduce eye strain.

4. **Protective Eyewear**: Use appropriate protective eyewear during activities that could injure the eyes, such as sports or construction work.

5. **Visual Aids**: Use prescribed glasses or contact lenses to correct any refractive errors and alleviate symptoms.

6. **Healthy Diet**: Maintain a balanced diet rich in vitamins and minerals, especially those known for eye health like Vitamins A, C, and E, and zinc.

7. **Limit Screen Time**: Reduce prolonged exposure to screens, and take regular breaks to prevent eye fatigue (the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds).

8. **Hydration**: Keep your eyes moist with adequate hydration and use lubricating eye drops if necessary.

9. **Stress Management**: Manage stress through activities like yoga and meditation, as stress can sometimes exacerbate eye strain and related symptoms.

10. **Follow Medical Advice**: Adhere to any prescribed treatments or interventions, such as eye patching or surgery, as directed by your healthcare provider.
Medication
Cyclotropia, a type of strabismus where one eye tilts inward or outward, is typically not treated with medication. Treatment options generally include vision therapy, prisms in glasses, or surgery to correct the misalignment.
Repurposable Drugs
For cyclotropia, or rotational strabismus, there are no specific drugs repurposed exclusively for this condition. Treatment generally focuses on vision therapy, corrective lenses, or surgical intervention to correct the muscle imbalance. Medication is not typically a primary treatment for cyclotropia.
Metabolites
For cyclotropia, there are no specific metabolites directly associated with this condition. Cyclotropia is a form of strabismus where one eye rotates around its visual axis, causing misalignment. It primarily involves the muscles controlling eye movement rather than metabolic processes. If you need information on its causes, symptoms, and treatments, please let me know.
Nutraceuticals
There is no well-established evidence that nutraceuticals are effective in the treatment of cyclotropia. Cyclotropia, a form of strabismus characterized by the misalignment of the eyes where one eye rotates around its visual axis, is typically managed through methods such as vision therapy, corrective lenses, or surgical intervention. Nanotechnology is also not currently a recognized treatment for cyclotropia. For proper diagnosis and treatment, consulting a healthcare professional specializing in eye disorders is recommended.
Peptides
Cyclotropia is a type of strabismus where one eye has a torsional misalignment, rotating around its visual axis. There are no specific peptides associated with the treatment of cyclotropia. Treatment options usually involve vision therapy, corrective lenses, or surgery, depending on the severity.