Oscillopsia

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Classification according to ICD-10
H53.1 Subjective visual disturbances
ICD-10 online (WHO version 2019)

Oscillopsia ( Latin oscillare "rock" and Greek oψις "the gaze, the seeing", also: apparent movement or Brückner phenomenon ) is a disruption of visual perception in which the environment appears shaky to the viewer, especially when fixing objects or during a proper movement. The phenomenon can best be compared to a video sequence that was recorded while walking and therefore shows the environment in motion.

Oscillopsia often accompanies dizziness , for example as a result of nystagmus (trembling eyes). Oscillopsia can also occur if the vestibulo-ocular reflex (VOR), which usually triggers compensatory eye movements - a so-called doll's head phenomenon - is disturbed, as well as eye muscle paralysis and disturbances of subjective localization.

Possible causes are, in addition to disorders in the area of ​​the equilibrium organ in the inner ear (e.g. dehiscence of the semicircular canal ), neurological disorders, for example as a result of inflammatory diseases such as multiple sclerosis or superior oblique myokymia . Various infections (e.g. neuroborreliosis) can also lead to neurological problems and also to oscillopsia. In many cases, however, an oscillopsia cannot be based on any identifiable cause.

literature

  • Albert J. Augustin: Ophthalmology. 3rd, completely revised and expanded edition. Springer, Berlin a. a. 2007, ISBN 978-3-540-30454-8 .
  • Werner Hacke : Neurology. 13th, completely revised edition. Springer Medicine, Heidelberg 2010, ISBN 978-3-642-12381-8 .
  • Herbert Kaufmann (Ed.): Strabismus. 3rd, fundamentally revised and expanded edition. Georg Thieme, Stuttgart a. a. 2004, ISBN 3-13-129723-9 .
  • Rudolf Probst, Gerhard Grevers, Heinrich Iro: Ear, nose and throat medicine. 3rd, corrected and updated edition. Georg Thieme, Stuttgart a. a. 2008, ISBN 978-3-13-119033-8 .

Web links

Individual evidence

  1. Guideline for vertigo therapy of the German Society for Neurology (2011) on the DGN website , accessed on August 14, 2019
  2. ^ F. Koerner: Nystagmus-Differentialdiagnostik in der Neuroophthalmologie. In: Current Neurology. Vol. 10, No. 4, ISSN  0302-4350 , pp. 132-135, doi : 10.1055 / s-2007-1020885 .