To see views enlarged, click on the individual pictures...

You walk into the examining room and see this 16-year-old boy sitting in the chair. You have no information about him.

1.	The etiology of his condition is most likely:
	a -- congenital This is the typical facial asymmetry that would occur with a left congenital superior oblique palsy with chronic right head tilt.
2.	After completing your examination, the most likely treatment suggestion would be:
	c -- eye muscle surgery This condition is congenital left superior oblique palsy which is best treated with eye muscle surgery.
3.	A common cause of this problem is:
	c -- a lax tendon A very common cause of this condition is a congenitally lax or loose superior oblique tendon.  This is confirmed at surgery with the superior oblique traction test.

To learn more about congenital superior oblique palsy go to E-Learning and select the course on the Superior Oblique.