A 9-year-old boy with systemic juvenile chronic arthritis and Brown's syndrome (limitation of elevation of the adducted eye due to limitation of movement of the superior oblique tendon) is described. The resolution in association with steroid treatment suggested a transient tenonsynovitis involving the superior oblique tendon as the cause.

BACKGROUND Isolated superior rectus palsy due to a contralateral midbrain lesion has not been reported. CASE DESCRIPTION A 71-year-old woman suddenly developed diplopia. Examination showed that she had isolated superior rectus paresis. Magnetic resonance imaging showed a tiny infarct at the area of the oculomotor nucleus on the contralateral side. CONCLUSION Isolated superior rectus palsy m...

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...

Recession of the superior oblique was performed bilaterally in 12 patients with the A phenomenon and unilaterally in four patients with vertical imbalance. The results are discussed.