Subjective and Motor Adaptation to Monocular Torsion

Besch, Dorothea and Herzau, Volker and Fetter, Michael and Koitschev, Assen and Jaegle, Herbert (2012) Subjective and Motor Adaptation to Monocular Torsion. NEURO-OPHTHALMOLOGY, 36 (6). pp. 219-226. ISSN 0165-8107,

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Abstract

Subjective adaptation to image tilt in the sagittal axis is a physiological phenomenon and can be observed during head tilt to the shoulder. Oculomotor adaptation has been found to have a minor influence. Nevertheless, contours are perceived as vertically and horizontally aligned even though they do not fall on the vertical and horizontal anatomic-geometric retinal meridians. Unilateral macular translocation with surgical rotation of the macula around the optic nerve head on to a healthier retinal pigment epithelium leads to similar torsional misalignment of the retinal meridians. To analyse the mechanisms of adaptation to image tilt without superimposition of binocular problems, we followed two monocular patients after macular translocation with upward rotation of the fovea in their left eyes (incyclorotation). In both cases, in spite of subjective adaptation of the visual system, a pronounced head and body tilt to the side of the operated eye (here to the left) developed. This is the first report on a medical procedure demonstrating an impressive ability to coordinate head and eye position during retinal image tilt.

Item Type: Article
Uncontrolled Keywords: MACULAR TRANSLOCATION; SURGICAL-MANAGEMENT; OCULAR TORSION; DEGENERATION; RETINOTOMY; ROTATION; RESPONSES; TILT; EYES; Adaptation; Head tilt; Macular translocation; Monocular torsion; Retinal image
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Augenheilkunde
Medicine > Abteilung für Pädiatrische Ophthalmologie, Strabismologie und Ophthalmogenetik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 04 May 2020 05:27
Last Modified: 04 May 2020 05:27
URI: https://pred.uni-regensburg.de/id/eprint/17663

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