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April 1953


Author Affiliations

From the Department of Ophthalmology of the Illinois Eye and Ear Infirmary, University of Illinois College of Medicine.

AMA Arch Ophthalmol. 1953;49(4):382-391. doi:10.1001/archopht.1953.00920020392002

BILATERAL paralysis of the superior oblique muscle may be congenital or acquired. The typical symptoms of bilateral superior oblique paralysis following trauma to the skull have been described by Bielschowsky,1 Adler,2 and Walsh.3 The findings are characteristic in that there are diplopia in the lower fields of gaze and fusion in the upper fields. The head is bent, with the chin on the chest, so that the eyes will look into the upper field of single vision. On looking down and to the right there is left hypertropia with diplopia, and on looking down and to the left there is right hypertropia with diplopia. Adler2 charted the diplopia fields for this condition, which showed the left image lower on gaze to the right and the right image lower on gaze to the left. In the upper field the images came together. Bielschowsky1 figured the findings

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