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December 1973

Superior Oblique Myokymia

Author Affiliations

USA; Miami, Fla; Philadelphia
From the Bascom Palmer Eye Institute, University of Miami (Fla) School of Medicine (Drs. Susac and Smith), and the Neuro-ophthalmology Section, Wills Eye Hospital, Philadelphia (Dr. Schatz).

Arch Neurol. 1973;29(6):432-434. doi:10.1001/archneur.1973.00490300094013

Superior oblique myokymia is an unusual disorder of ocular motility characterized by rapid, small amplitude, rotary oscillations limited to one eye. Symptoms of monocular oscillopsia and torsional diplopia are experienced by the patient. Although symptomatically obtrusive, the syndrome is benign in our experience. While the cause remains obscure, we have found carbamazepine (Tegretol) to be effective in treating this condition.

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