purpose: to evaluate the clinical findings and surgical management of patients with congenital unilateral double elevator palsy (dep) or monocular elevation deficiency (med) methods: in a non-comparative interventional case series, 27 consecutive cases of dep were studied. hypotropia, elevation deficiency, and pseudoptosis were corrected by knapp or callahan procedure with or without inferior r...

twenty six patients with double elevator palsy (dep) (ranging from 25-90 pd), who had undergone either callahan or knapp-modified-kanpp procedure from february, 1981 to february, 1994, were reviewed. we achieved acceptable results in correction of hypotropia in primary position. three patients gained peripheral fusion and after reviewing the results we concluded that in patients having large-an...

purpose: to evaluate the clinical manifestations and surgical results in patients with double elevator palsy operated at labbafinejad eye center from 1993 to 2004. methods: the study was conduct on hospital records of 20 patients with double elevator palsy. patients were classified in three groups including primary elevator muscle palsy (9 subjects), primary supranuclear palsy with secondary in...

PURPOSE To report a unique surgical approach for congenital double elevator palsy with sensory exotropia. CASE REPORT A 7-year-old boy with congenital double elevator palsy and sensory exotropia was managed surgically by Callahan's procedure with recession and resection of the horizontal recti for exotropia without inferior rectus recession, followed by frontalis sling surgery for congenital ...

PURPOSE To describe the clinical manifestations of subtypes of double elevator palsy and to report the outcomes of surgery in these patients. METHODS This retrospective study was conducted on hospital records of patients with double elevator palsy at Labbafinejad Medical Center over a ten-year period from 1994 to 2004. Patients were classified into three subgroups of primary elevator muscle p...

BACKGROUND A case report of Hashimoto's thyroiditis-associated ophthalmopathy that masqueraded as double elevator palsy in 1 eye. CASE PRESENTATION A 54-year-old woman presented to our strabismus clinic with diplopia for 1 year. She was diagnosed with double elevator palsy in the left eye. The forced duction test yielded positive findings for the inferior rectus of the left eye; hence, comput...

Full tendon width vertical transposition (Knapp procedure) of the horizontal recti is an established treatment for double elevator palsy (DEP) but the long-term stability of the surgical results have not been well studied. We undertook a retrospective study to determine the overall effectiveness of the Knapp procedure, the postoperative stability of alignment, and the influence of prior inferio...

Monoküler elevasyon defisiti (MED); paretik, restriktif ya da kombine etiyolojinin neden olduğu tek taraflı defekti ile karakterizedir. MED, konjenital akkiz başlangıçlı olabilir. MED'in vakaları sporadik olarak gelişir, fakat ikizlerde oluşan vakalar bildirilmiştir. Akkiz genellikle hipertansiyon, tromboembolizm, arterit gibi serebrovasküler hastalıklardan kaynaklanır. hipotropyanın sebeplerin...

OBJECTIVE To document the various clinical features of ptosis associated with monocular elevation deficiency (MED) seen in patients, presenting to the Paediatric and Strabismus Unit, over a period of 2 years. METHODS All patients seen with monocular elevation deficiency presenting to the Strabismus Clinic from January 2006 to December 2007 were examined and evaluated for presence of associate...