Torsional augmentation for the treatment of lateropulsion and torticollis in partial ocular tilt reaction

PurposeWe describe a new surgical treatment for lateropulsion and torticollis arising from an ocular tilt reaction.MethodsVisual sensory parameters and postural abnormalities were retrospectively reviewed in a patient with a partial ocular tilt reaction who was treated with horizontal transposition of the vertical rectus muscles to surgically augment preexisting binocular torsion.ResultsTorsional augmentation eliminated the sensation of lateropulsion and produced almost complete resolution of her torticollis and associated body tilt.ConclusionsBinocular torsional augmentation can be used to reduce both lateropulsion and torticollis in the setting of an ocular tilt reaction.