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Strabismus -  Superior Oblique Palsy Lecture 3 of 38  NEXT»

 
History:  This 34-year-old woman noticed that her left eye was higher when she was in her teens.  She objected to the hyper deviation.  While observing her eyes looking in a mirror she determined that by using her left eye for fixation the right hypotropia was less objectionable.  She then consciously used her left eye and assumed the head tilt shown in the pictures.  Her visual acuity is 20/20 in each eye, the refractive error is +.50 in each eye, and the remainder of the eye examination is normal.  She is not bothered by diplopia and has no measurable fusion.  She would like to have the vertical deviation treated if it would improve her head position.
 
Diagnosis:  superior oblique palsy  
 

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