Congenital Double Elevator Palsy in Two Brothers.

Lim, Jae Hyeouk; Park, Song Hee; Shin, Hanho

Case Report

Journal of the Korean Ophthalmological Society 1993;34(6):565-569.
Published online June 1, 1993.

Congenital Double Elevator Palsy in Two Brothers.

Jae Hyeouk Lim, Song Hee Park, Hanho Shin

Department of Ophthalmology, College of Medicine, Soonchunhyang University, Seoul, Korea.

형제에서 발생한 선천성 Double Elevator Palsy

임재혁(Jae Hyeouk Lim),박성희(Song Hee Park),신환호(Hwan Ho Shin)

Abstract

Double elevator palsy (DEP) is an unusual anomaly of ocular motility in which both elevator muscles of the same eye are weak with a resultant inability or reduced ability to elevate the eye and hypotropia. This anomaly is occured congenitally, but occasionally occured as an acquired form. Congenital DEP, which is main cause of the monocular elevation paralysis, is characterized by the progressive deterioration and the absence of diplopia. The etiology is obscure, but is thought to be supranuclear lesion. We observed DEP of the same side of eyes in two patients who were brothers. The limitation of elevation and hypotropia were improved after Knapp's transposition procedure or Jensen's procedure.

Key Words: Double elevator palsy;Hypotropia;Limitation of elevation