Superior oblique myokymia--a topical solution?

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Superior oblique myokymia--a topical solution?

of the tendon from the eyelid tissue.3 This produces a rounding of the lateral angle and acquired blepharophimosis. The dark discoloration over the lateral canthus can precede the tendon dehiscence. Blepharochalasis is an uncommon condition and Brazin commented that its occurrence unilaterally was extremely rare.4 This view is supported by Langley et al.5 Collin, however, reported a series of 3...

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Resolution of superior oblique myokymia with memantine.

We describe a novel treatment of superior oblique myokymia. A 40-year-old woman was treated with gabapentin for this disorder with partial success and reported significant side effects including loss of libido and weight gain. After a drug holiday, memantine therapy was initiated resulting in a substantial improvement in her symptoms with far fewer side effects and stability on long-term mainte...

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Topical timolol in the treatment of monocular oscillopsia secondary to superior oblique myokymia: a review.

Some reports have outlined many different treatment strategies for superior oblique myokymia (SOM) that attempt to reduce or eliminate patients' symptoms of monocular oscillopsia and/or diplopia. Most treatment strategies have focused solely on oral medications or invasive surgery. The following is a current and critical review of SOM along with its clinical findings/symptoms, demographics, the...

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Cardinal features of superior oblique myokymia: An infrared oculography study

Purpose Superior oblique myokymia (SOM) is a rare eye movement disorder characterized by unilateral oscillopsia and binocular diplopia. Our study aimed to better understand SOM using infrared oculography. Methods We examined and recorded five patients with SOM. Results Binocular infrared oculography showed that in primary gaze, all patients exhibited torsional oscillations, which worsened i...

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Mystery case: superior oblique myokymia due to vascular compression of the trochlear nerve.

A 37-year-old man with episodic oscillopsia for 3 months showed intermittent torsional-vertical oscillation of the left eye (video on the Neurology® Web site at www.neurology.org). MRI revealed an attachment between left trochlear nerve and left superior cerebellar artery in the quadrigeminal cistern (figure). Gabapentin 600 mg twice a day ameliorated the ocular oscillation and oscillopsia. Sup...

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ژورنال

عنوان ژورنال: British Journal of Ophthalmology

سال: 1994

ISSN: 0007-1161

DOI: 10.1136/bjo.78.11.882