ABSTRACT
Usually the diagnosis of superior oblique palsy is straightforward. Diagnostic difficulties may sometimes arise when the patient dominantly fixates with the paralyzed eye.
2 CASE REPORT
A 35 year female presented with hypotropia of 40 , marked 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 15 and ptosis disappeared. The pre-and postoperative vertical deviation measurements as well as photographic documentation are presented.
