Bilateral Fundus Excyclotorsion in Unilateral Superior Oblique Palsy Confirmed by MR Imaging

Relationship of Hypertropia and Excyclotorsion in Superior Oblique Palsy

PURPOSE To evaluate the correlation between hypertropia and excyclotorsion in acquired superior oblique palsy (SOP). METHODS Thirty-one patients with acquired unilateral SOP were recruited for this study. The torsional angle of each patient was assessed via one objective method (fundus photography) and two subjective methods (double Maddox rod test and major amblyoscope). The patient populati...

Paradoxical head tilt in unilateral traumatic superior oblique palsy

PURPOSE We report a patient with abnormal head posture following ocular blunt trauma. METHODS This is report of a case that despite findings compatible with diagnosis of left superior oblique (SO) palsy, the patient acquired an ipsilateral (left) head tilt. The interesting observation in our patient was reduction of left hypertropia and consequent less diplopia with ipsilateral head tilt. R...

Outcomes of Unilateral Inferior Oblique Myectomy Surgery in Inferior Oblique Overaction Due to Superior Oblique Palsy

OBJECTIVES To present the outcomes of unilateral inferior oblique myectomy performed in patients with inferior oblique overaction due to superior oblique palsy. MATERIALS AND METHODS Twenty-seven eyes of 27 patients that underwent inferior oblique myectomy surgery for superior oblique palsy between 2002 and 2008 were included. Inferior oblique overaction scores (between 0-4) at preoperative, ...

When does masked bilateral superior oblique palsy occur in children?

MR imaging of familial superior oblique hypoplasia.

BACKGROUND Congenital superior oblique palsy is usually associated with a structural abnormality of the superior oblique tendon. There have been many reports of familial congenital superior oblique palsy. However, there has been no MRI documentation of familial superior oblique hypoplasia. METHODS Ophthalmological examination and orbital MRI were performed in three patients in a pedigree with...