Home Page Strabismus Course Strabismus Books Strabismus Videos Strabismus Lectures Case of the week E Consultation Contact me Case of the week 19 ( December 2011 ) Right Superior Oblique palsy : Class I The mother of this 10 years old boy complains about the head tilt of her son which became obvious when he became old enough to sit down on his own. Examination showed : Vision 6/6     6/6 Bilateral normal fundi    Superior oblique palsy is the most common oculo-motor nerve palsy encountered by strabismologists and should not present any diagnosis difficulties   . when a strabismologist is asked about congenital head tilt , the diagnosis of superior oblique palsy should arise as a first possibility. The 3 step test (positive Bielschowsky test) - Hypertropia in the primary position increases on looking nasally and on head tilt to the same side of the hypertropia - is diagnostic of SO palsy   In cases of class I superior oblique palsy with a maximum hyperdeviation of no greater than 25 prism diopters weakening of the antagonist inferior oblique is effective.

الموقع المصري للحول وامراض الجهاز الحركي للعين

The Egyptian Site of Strabismus & Oculomotor Disorders