ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2024-3-446-450ophthalmology-2416Research ArticleОБЗОРЫREVIEWSАномальное положение головы «Поза звездочета» в офтальмологии. ОбзорAbnormal Head Position «Astrologer Posture» in Ophthalmology. Reviewhttps://orcid.org/0000-0001-5958-9604ГладышеваГ. В.GladyshevaG. V.

Гладышева Галина Владимировна - врач‑офтальмолог 3‑го офтальмологического отделения.

Ул. Колхидская, 10, Новосибирск, 630096

Gladysheva Galina V. - ophthalmologist of the 3rd ophthalmology department.

Kolkhidskaya str., 10, Novosibirsk, 630096

https://orcid.org/0000-0003-2988-9344АнаньеваН. В.AnanyevaN. V.

Ананьева Надежда Владимировна - врач‑офтальмолог.

Ул. Линейная, 51, Новосибирск, 630105

Ananeva Nadezhda V. – ophthalmologist.

Lineynaya str., 51, Novosibirsk, 630105

https://orcid.org/0000-0001-5120-8360ПлисовИ. Л.PlisovI. L.

Плисов Игорь Леонидович - доктор медицинских наук, заведующий 3‑го офтальмологическим отделением.

Ул. Колхидская, 10, Новосибирск, 630096

Plisov Igor L. - MD, head of the 3rd ophthalmology department.

Kolkhidskaya str., 10, Novosibirsk, 630096

Новосибирский филиал ФГАУ НМИЦ «МНТК “Микрохирургия глаза” имени академика С.Н. Фёдорова» Министерства здравоохранения Российской ФедерацииРоссияNovosibirsk branch of the S. Fedorov Eye Microsurgery Federal State InstitutionRussian FederationООО детский центр «Илария»РоссияChildren’s Center “Ilaria”Russian Federation202401102024213446450Copyright © Гладышева Г.В., Ананьева Н.В., Плисов И.Л., 20242024Гладышева Г.В., Ананьева Н.В., Плисов И.Л.Gladysheva G.V., Ananyeva N.V., Plisov I.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/2416

Аномальная или компенсаторная поза головы возникает, когда голова отклоняется от нормального первичного положения. Причина может быть глазной, ортопедической и неврологической. Поскольку этиология не всегда очевидна, таких пациентов необходимо тщательно обследовать, а иногда проводить многопрофильное обследование. Компенсаторное положение головы в офтальмологии обычно является попыткой улучшить остроту зрения или создать условия для формирования бинокулярного зрения. Аномальное положение головы может проявляться изменением положения подбородка вверх, вниз, наклоном головы вправо или влево, поворотом лица вправо или влево или их комбинацией.

Цель обзора: предоставить данные литературы наиболее часто встречающихся офтальмологических заболеваний у детей, сопровождающихся компенсаторным положением головы «поза звездочета». Методы, которые использовались для нахождения, отбора, получения информации и синтеза данных: поиск информации в интернете: Google Scholar, PubMed, eLibrary. Количество источников: 35 (с 1905 по 2022 г.).

An abnormal or compensatory head posture occurs when the head deviates from its normal primary position. The cause can be ocular, orthopedic, and neurological. Since the etiology is not always obvious, such patients need to be carefully examined, and sometimes a multidisciplinary examination should be carried out. Compensatory head position in ophthalmology is usually an attempt to improve visual acuity or create binocularity. An abnormal head position can be manifested by a change in the position of the chin up, down, tilting the head to the right or left, turning the face to the right or left, or a combination of both. The purpose of our review is to provide literature data of the most common ophthalmic diseases in children, accompanied by a compensatory head position “astrologer posture”. Methods used to find, select and obtain information as well as to synthesize the data are information search on the Internet through Google Scholar, PubMed and eLibrary. Number of sources: 35 (from 1905 to 2022).

аномальное положение головыпоза звездочетанормальное первичное положениеabnormal head positionstargazer posturenormal primary positionникто из авторов не имеет финансовой заинтересованности в представленных материалах или методахReferencesBroca M. Sur les projections de la tete, et sur un nouvean procede de cephalometrie. Natural head position, a basic consideration in the interpretation of cephalometric radiographs. American Journal of Physical Anthropology. 1862;16:213–234.Broca M. Sur les projections de la tete, et sur un nouvean procede de cephalometrie. Natural head position, a basic consideration in the interpretation of cephalometric radiographs. American Journal of Physical Anthropology. 1862;16:213–234.Solow B, Tallgren A. Natural head position in standing subjects. Acta Odontol Scand. 1971;29(5):591–607.Solow B, Tallgren A. Natural head position in standing subjects. Acta Odontol Scand. 1971;29(5):591–607.Showfety KJ, Vig PS., Matteson S. A simple method for taking natural‑head‑position cephalograms. Am J Orthod. 1983;83(6):495–500.Showfety KJ, Vig PS., Matteson S. A simple method for taking natural‑head‑position cephalograms. Am J Orthod. 1983;83(6):495–500.Usumez S, Orhan M. Inclinometer method for recording and transferring natural head position in cephalometrics. Am J Orthod Dentofacial Orthop. 2001;120(6):664–670. doi: 10.1067/mod.2001.117201.Usumez S, Orhan M. Inclinometer method for recording and transferring natural head position in cephalometrics. Am J Orthod Dentofacial Orthop. 2001;120(6):664–670. doi: 10.1067/mod.2001.117201.Khan AR, Rajesh RN, Dinesh MR, Sanjay N, Girish KS, Venkataraghavan K. Comparison of reproducibility of natural head position using two methods. J Contemp Dent Pract. 2012;13(1):31–39. doi: 10.5005/jp‑journals‑10024‑1092.Khan AR, Rajesh RN, Dinesh MR, Sanjay N, Girish KS, Venkataraghavan K. Comparison of reproducibility of natural head position using two methods. J Contemp Dent Pract. 2012;13(1):31–39. doi: 10.5005/jp‑journals‑10024‑1092.SooHoo JR, Davies BW, Allard FD Durairaj VD. Congenital ptosis. Surv Ophthalmol. 2014;59(5):483–492. doi: 10.1016/j.survophthal.2014.01.00511.SooHoo JR, Davies BW, Allard FD Durairaj VD. Congenital ptosis. Surv Ophthalmol. 2014;59(5):483–492. doi: 10.1016/j.survophthal.2014.01.00511.Griepentrog GJ, Diehl NN, Mohney BG. Incidence and demographics of childhood ptosis. Ophthalmology. 201;118(6):1180–1183. doi: 10.1016/j.ophtha.2010.10.026.Griepentrog GJ, Diehl NN, Mohney BG. Incidence and demographics of childhood ptosis. Ophthalmology. 201;118(6):1180–1183. doi: 10.1016/j.ophtha.2010.10.026.Berry‑Brincat A, Willshaw H. Pediatric blepharoptosis: a 10‑year review. Eye. 2009;23(7):1554–1559. doi: 10.1038/eye.2008.311.Berry‑Brincat A, Willshaw H. Pediatric blepharoptosis: a 10‑year review. Eye. 2009;23(7):1554–1559. doi: 10.1038/eye.2008.311.Hu DN. Prevalence and mode of inheritance of major genetic eye diseases in China. J Med Genet. 1987;24(10):584–588. doi: 10.1136/jmg.24.10.584.Hu DN. Prevalence and mode of inheritance of major genetic eye diseases in China. J Med Genet. 1987;24(10):584–588. doi: 10.1136/jmg.24.10.584.Аветисов ЭС, Хватова АВ, Анджелов ВО. Выборочные данные о распространенности глазной патологии среди детей. Вестник офтальмологии. 1983;2:32–34.Avetisov ES, Khvatova AV, Angelov VO. Sample data on the prevalence of ocular pathology among children. Annales of Ophthalmology. 1983;2:32–34 (In Russ.).Stein A, Kelly JP, Weiss AH. Congenital ptosis of the eyelid: onset and prevalence of amblyopia, associations with systemic diseases, and treatment outcomes. J Pediatr. 2014;165(4):820–824. doi: 10.1016/j.jpeds.2014.06.053.Stein A, Kelly JP, Weiss AH. Congenital ptosis of the eyelid: onset and prevalence of amblyopia, associations with systemic diseases, and treatment outcomes. J Pediatr. 2014;165(4):820–824. doi: 10.1016/j.jpeds.2014.06.053.Berke RN, Wadsworth JA. Histology of the levator muscle in congenital and acquired ptosis. AMA Arch Ophthalmol. 1955;53:413–428. doi: 10.1001/archopht.1995.00930010415017.Berke RN, Wadsworth JA. Histology of the levator muscle in congenital and acquired ptosis. AMA Arch Ophthalmol. 1955;53:413–428. doi: 10.1001/archopht.1995.00930010415017.Wuthisiri W, Peou C, Lekskul A, Chokthaweesak W. Maximal Levator Resection Beyond Whitnall’s Ligament in Severe Simple Congenital Ptosis with Poor Levator Function. Clin Ophthalmol. 2022;16:441–452. doi: 10.2147/OPTH.S340781.Wuthisiri W, Peou C, Lekskul A, Chokthaweesak W. Maximal Levator Resection Beyond Whitnall’s Ligament in Severe Simple Congenital Ptosis with Poor Levator Function. Clin Ophthalmol. 2022;16:441–452. doi: 10.2147/OPTH.S340781.Press UP, Hübner H. Maximum resection of the levator in the treatment of unilateral congenital ptosis with poor levator function. Orbit. 2001;20:125–129. doi: 10.1076/orbi.20.2.125.2631.Press UP, Hübner H. Maximum resection of the levator in the treatment of unilateral congenital ptosis with poor levator function. Orbit. 2001;20:125–129. doi: 10.1076/orbi.20.2.125.2631.Lee JH, Aryasit O, Kim YD, Woo KI, Lee L, Johnson ON. Maximal levator resection in unilateral congenital ptosis with poor levator function. Br J Ophthalmol. 2017;101(6):740–746. doi: 10.1136/bjophthalmol‑2016‑309163.Lee JH, Aryasit O, Kim YD, Woo KI, Lee L, Johnson ON. Maximal levator resection in unilateral congenital ptosis with poor levator function. Br J Ophthalmol. 2017;101(6):740–746. doi: 10.1136/bjophthalmol‑2016‑309163.Cisterna BA, Cardozo C, Sáez JC. Neuronal involvement in muscular atrophy. Front Cell Neurosci. 2014;8:405. doi: 10.3389/fncel.2014.00405.Cisterna BA, Cardozo C, Sáez JC. Neuronal involvement in muscular atrophy. Front Cell Neurosci. 2014;8:405. doi: 10.3389/fncel.2014.00405.Magli A, de Berardinis T, D’Esposito F, Gagliardi V. Clinical and surgical data of affected members of a classic CFEOM I family. BMC Ophthalmol. 2003;3:6. doi: 10.1186/1471‑2415‑3‑6.Magli A, de Berardinis T, D’Esposito F, Gagliardi V. Clinical and surgical data of affected members of a classic CFEOM I family. BMC Ophthalmol. 2003;3:6. doi: 10.1186/1471‑2415‑3‑6.Apt L, Axelrod RN. Generalized fibrosis of the extraocular muscles. Am J Ophthalmol. 1978;85(6):822–829. doi: 10.1016/s0002‑9394(14)78112‑7.Apt L, Axelrod RN. Generalized fibrosis of the extraocular muscles. Am J Ophthalmol. 1978;85(6):822–829. doi: 10.1016/s0002‑9394(14)78112‑7.Engle EC, Hunter DG. Congenital fibrosis of the extraocular muscles. Am J Ophthalmol. 2008;23(1):3–8. doi: 10.1080/08820530701745181.Engle EC, Hunter DG. Congenital fibrosis of the extraocular muscles. Am J Ophthalmol. 2008;23(1):3–8. doi: 10.1080/08820530701745181.Bagheri A, Borhani M, Tavakoli M, Salehirad S. Clinical Features and Outcomes of Strabismus Treatment in Third Cranial Nerve Palsy during a 10‑Year Period. J Ophthalmic Vis Res. 2014;9(3):343–349. doi: 10.4103/2008‑322X.Bagheri A, Borhani M, Tavakoli M, Salehirad S. Clinical Features and Outcomes of Strabismus Treatment in Third Cranial Nerve Palsy during a 10‑Year Period. J Ophthalmic Vis Res. 2014;9(3):343–349. doi: 10.4103/2008‑322X.Demer JL Clark RA. Engle ES Magnetic resonance imaging indicates widespread orbital dysinnervation in congenital extraocular muscle fibrosis due to mutations in KIF21A. Invest Ophthalmol Vis Sci. 2005;46(2):530–539. doi: 10.1167/iovs.04‑1125.Demer JL Clark RA. Engle ES Magnetic resonance imaging indicates widespread orbital dysinnervation in congenital extraocular muscle fibrosis due to mutations in KIF21A. Invest Ophthalmol Vis Sci. 2005;46(2):530–539. doi: 10.1167/iovs.04‑1125.Heidari J, McKinnon S, Elliott A. Results of strabismus surgery in genetically confirmed congenital extraocular muscle fibrosis. J AAPOS. 2019;23(5):253–256.Heidari J, McKinnon S, Elliott A. Results of strabismus surgery in genetically confirmed congenital extraocular muscle fibrosis. J AAPOS. 2019;23(5):253–256.Kushner BJ. Vertical Rectus Surgery for Knapp Class II Superior Oblique Muscle Paresis. Arch. Ophthalmol. 2010;128(5):585–588. doi: 10.1001/archophthalmol.2010.64.Kushner BJ. Vertical Rectus Surgery for Knapp Class II Superior Oblique Muscle Paresis. Arch. Ophthalmol. 2010;128(5):585–588. doi: 10.1001/archophthalmol.2010.64.Duane A. Congenital Deficiency of Abduction associated with impairment of adduction, retraction movements, contraction of the palpebral fissure and oblique movements of the eye. Archives of ophthalmology. 1905;34:133–150. doi: 10.1001/archopht.1996.0110014045501712.Duane A. Congenital Deficiency of Abduction associated with impairment of adduction, retraction movements, contraction of the palpebral fissure and oblique movements of the eye. Archives of ophthalmology. 1905;34:133–150. doi: 10.1001/archopht.1996.0110014045501712.Urrets‑Zavalia A. Abduction en al elevation. Arch Opfalmol. 1948;23:124–134.Urrets‑Zavalia A. Abduction en al elevation. Arch Opfalmol. 1948;23:124–134.Urist MJ. Etiology of the so‑called A and V. syndromes. Am J Ophthalmol. 1958;46:835–844. doi: 10.1016/0002‑9394(58)90995‑4.Urist MJ. Etiology of the so‑called A and V. syndromes. Am J Ophthalmol. 1958;46:835–844. doi: 10.1016/0002‑9394(58)90995‑4.Kushner BJ. The role of eye twist on the etiology of Aand V‑patterns. J Pediatr Ophthalmol Strabismus. 1985;17:222.Kushner BJ. The role of eye twist on the etiology of Aand V‑patterns. J Pediatr Ophthalmol Strabismus. 1985;17:222.Knapp P. Vertically incompatible horizontal strabismus, the so‑called “A” and “V” syndromes. Trans Am Ophthalmol Soc. 1959;57:666.Knapp P. Vertically incompatible horizontal strabismus, the so‑called “A” and “V” syndromes. Trans Am Ophthalmol Soc. 1959;57:666.Miller MM, Guyton DL. Loss of fusion and the development of A or V patterns. J Pediatr Ophthalmol Strabismus. 1994;31(4):220–224.Miller MM, Guyton DL. Loss of fusion and the development of A or V patterns. J Pediatr Ophthalmol Strabismus. 1994;31(4):220–224.Емченко ВИ. К вопросу о хирургическом лечении V‑экзотропии. Офтальмологический журнал. 1995;2:95–97.Emchenko VI. On the issue of surgical treatment of V‑exotropia. Ophthalmological journal. 1995;2:5–97 (In Russ.).Емченко ВИ. Синдром вертикальной дивергенции горизонтальных фузий. Офтальмологический журнал. 2004;4:43–46.Emchenko VI. Syndrome of vertical divergence of horizontal fusions. Journal of Ophthalmology. 2004;4:43–46. (In Russ.).Емченко ВИ. Хирургическое лечение А, V и X‑синдромов с ортотропией в первичной позиции. Офтальмологический журнал. 2001;2:54–56.Emchenko VI. Surgical treatment of A, V and X syndromes with orthotropia in the primary position. Journal of Ophthalmology. 2001;2:54–56 (In Russ.).Boyd TA, Leitch GT, Budd GE. A new method of treating strabismus in “A” and “V” patterns by attaching oblique muscles. Preliminary report. Maybe J Ophthalmol. 1971;6:170–177. PMID: 5566657Boyd TA, Leitch GT, Budd GE. A new method of treating strabismus in “A” and “V” patterns by attaching oblique muscles. Preliminary report. Maybe J Ophthalmol. 1971;6:170–177. PMID: 5566657Wilson ME, Buckley EG, Kivlin ID. Basic and Clinical science course section 6. Pediatric ophthalmology and strabismus. 2001:238–250.Wilson ME, Buckley EG, Kivlin ID. Basic and Clinical science course section 6. Pediatric ophthalmology and strabismus. 2001:238–250.Noorden G.K. Binocular Vision and Ocular Motility. St. Louis. 1996. Р. 376–391Noorden G.K. Binocular Vision and Ocular Motility. St. Louis. 1996. Р. 376–391

The authors declare that there are no conflicts of interest present.