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Professional Technical IVT

V-pattern strabismus

A form of incomitant strabismus where the eyes diverge more in upgaze than in downgaze, creating a V-shaped pattern.

Full Definition

V-pattern strabismus is a type of vertical incomitance where the horizontal deviation increases when the eyes look upward and decreases when looking downward. This creates a characteristic V-shaped pattern when plotting eye alignment across different gaze positions. The condition is often associated with overaction of the inferior oblique muscles or underaction of the superior oblique muscles. It requires specialized measurement techniques and may need surgical correction involving oblique muscle procedures.

Usage

Usage note: Always hyphenate V-pattern; distinguish from A-pattern which shows opposite vertical characteristics.

In Context

  • "The patient exhibited a 15-prism diopter V-pattern exotropia with significant inferior oblique overaction." — Surgical consultation report
  • "Measurements confirmed V-pattern strabismus requiring bilateral inferior oblique recession." — Pre-operative assessment

Also known as

V-pattern deviation vertical incomitance V-type

Contrasted with

A-pattern strabismus

Don't confuse with

A-pattern strabismus X-pattern strabismus

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