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Emergence of diplopia and oscillopsia due to Heimann-Bielschowsky phenomenon after cataract surgery.
Br J Ophthalmol. 2008 Oct; 92(10):1402.BJ

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.

Authors+Show Affiliations

Department of Neurology, College of Medicine, Seoul National University, Seoul National University Bundang Hospital, Gyeonggi-Do, Korea.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18815421

Citation

Jeong, S-H, et al. "Emergence of Diplopia and Oscillopsia Due to Heimann-Bielschowsky Phenomenon After Cataract Surgery." The British Journal of Ophthalmology, vol. 92, no. 10, 2008, p. 1402.
Jeong SH, Oh YM, Hwang JM, et al. Emergence of diplopia and oscillopsia due to Heimann-Bielschowsky phenomenon after cataract surgery. Br J Ophthalmol. 2008;92(10):1402.
Jeong, S. H., Oh, Y. M., Hwang, J. M., & Kim, J. S. (2008). Emergence of diplopia and oscillopsia due to Heimann-Bielschowsky phenomenon after cataract surgery. The British Journal of Ophthalmology, 92(10), 1402. https://doi.org/10.1136/bjo.2007.135624
Jeong SH, et al. Emergence of Diplopia and Oscillopsia Due to Heimann-Bielschowsky Phenomenon After Cataract Surgery. Br J Ophthalmol. 2008;92(10):1402. PubMed PMID: 18815421.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emergence of diplopia and oscillopsia due to Heimann-Bielschowsky phenomenon after cataract surgery. AU - Jeong,S-H, AU - Oh,Y-M, AU - Hwang,J-M, AU - Kim,J S, PY - 2008/9/26/pubmed PY - 2008/10/22/medline PY - 2008/9/26/entrez SP - 1402 EP - 1402 JF - The British journal of ophthalmology JO - Br J Ophthalmol VL - 92 IS - 10 N2 - 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. SN - 1468-2079 UR - https://www.unboundmedicine.com/medline/citation/18815421/Emergence_of_diplopia_and_oscillopsia_due_to_Heimann_Bielschowsky_phenomenon_after_cataract_surgery_ L2 - https://bjo.bmj.com/lookup/pmidlookup?view=long&pmid=18815421 DB - PRIME DP - Unbound Medicine ER -