A Case of Double Elevator Palsy Associated with Blepharoptosis.

Lee, Se Youp; Kim, Kwang Soo

Case Report

Journal of the Korean Ophthalmological Society 1995;36(9):1582-1587.
Published online September 1, 1995.

A Case of Double Elevator Palsy Associated with Blepharoptosis.

Se Youp Lee, Kwang Soo Kim

Department of Ophthalmology, School of Medicine, Keimyung University, Taegu, Korea.

Blepharoptosis 를 동반한 Double Elevator Palsy 1 례

이세엽(Se Youp Lee),김광수(Kwang Soo Kim)

Abstract

Double elevator palsy(DEP) is characterized by monocular limitation of upgaze in both abducted and adducted position. It is often associated with hypotropia, blepharoptosis, and pseudoblepharoptosis of the affected eye. The authors experienced a case of primary inferior rectus restrictive type of DEP, which has showed hypotropia of 40 prism diopters, and blepharoptosis on the right eye. Examinations revealed poor Bell's phenomenon, and forced duction test showed the limitation of elevation on the right eye. Surgery was performed with 6mm recession of the right inferior rectus. Postoperatively the elevation of glove was satisfactory, Bell's phenomenon was improved and primary position was also orthophoric. Correction of blepharoptosis with frontalis slinging could safely performed in the presence of adequate Bell's phenomenon after the inferior rectus recession.

Key Words: Blepharoptosis;Double elevator palsy;Hypotropia