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Strabismus with a Twist: Pre- and Postoperative Torsion

Correspondence: Requests for reprints should be addressed to: Katherine J. Fray, C.O., Arkansas Children’s Hospital, Eye Clinic, Slot 111A, 800 Marshall St., Little Rock, AR 72202.

Evaluating the torsional position of the eye is an important part of the examination of all patients with vertical strabismus. However, this assessment is often neglected in patients who do not specifically complain of torsional symptoms. The purpose of this paper is to review subjective and objective methods of evaluating the torsional position of the eye. In addition, clinical examples will be used to illustrate the importance of assessing torsion.