|
NR. 2(II)/2005
|
|
|
|
|
|
|
|
|
Pozorny niedowład
mięśnia prostego górnego u chorej z niedowładem mięśnia skośnego
górnego drugiego oka – opis przypadku
Apparent Palsy of the Superior Rectus Muscle in a Patient with
Contralateral Superior Oblique Paresis – a Case Report
Beata Kaczmarek
Oddział Leczenia Zeza i Niedowidzenia Wojewódzkiego Szpitala
Okulistycznego w Krakowie Witkowicach
Ordynator: dr n. med. Ewa Wójcik |
|
|
|
|
|
|
|
| Summary: |
Purpose:
Presentation of a 35 years old woman with superior
oblique palsy in strongly dominant eye.
Material and methods: A case report.
Results: Patient presented with hypotropia of
40D, ptosis and restriction of elevation of her right,
amblyopic eye. Careful examination revealed left
superior oblique palsy. The Bielschowsky test confirmed
the diagnosis. Left inferior oblique recession was
performed. Vertical deviation was decreased to 15D and
ptosis disappeared. The pre- and postoperative vertical
deviation measurements, diplopia test, Hess screen test
as well as photographic documentation are presented.
Conclusion: Trochlear palsy can present in an
atypical form and can mimic a contralateral III nerve
palsy. |
| |
|
| Key words: |
trochlear nerve palsy,
congenital paresis of the superior rectus muscle,
superior oblique muscle. |
|
|
|
|
|
|
|
|
