Epiblepharon-induced head tilt masquerading as torticollis

Ophthalmic Plast Reconstr Surg. 2015 Jan-Feb;31(1):e8-9. doi: 10.1097/IOP.0000000000000022.

Abstract

A 10-month-old girl presented for ocular evaluation carrying a provisional diagnosis of torticollis. Her family reported that for the past 5 months, she consistently tilted her head to the left while twisting her chin toward the right shoulder. Her adnexal examination was notable for epiblepharon, with greater ciliary-corneal contact in the OS. It was therefore hypothesized that this posture was adopted to minimize ocular irritation. Her symptoms resolved immediately following a Hotz-Celsus procedure. To the best of the authors' knowledge, this is the first report of asymmetric ciliary-corneal contact from epiblepharon, resulting in preference for a head position mimicking a musculoskeletal abnormality such as torticollis.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Eyelid Diseases / congenital*
  • Eyelid Diseases / diagnosis
  • Eyelid Diseases / surgery
  • Eyelids / abnormalities*
  • Eyelids / surgery
  • Female
  • Head*
  • Humans
  • Infant
  • Ophthalmologic Surgical Procedures
  • Posture*
  • Torticollis / diagnosis*

Supplementary concepts

  • Epiblepharon of Upper Lid