Systems and methods for assessing ocular cyclotorsion are provided utilizing an inter-aural axis location assembly, with a first gyroscope connected to the inter-aural axis location assembly, and a camera assembly for retinal imaging, with a second gyroscope connected to the camera assembly. A processor is utilized to calculate angles between the disc-foveal line, skull-horizontal axis, and earth-horizontal axis for use in determining ocular cyclotorsion, and the determinations or calculations may be used to generate a diagnostic report that may be provided via an output device.