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Superior Oblique Palsy as a Complication of Anterior Ethmoidal Artery Ligation?

Superior Oblique Palsy as a Complication of Anterior Ethmoidal Artery Ligation? Abstract To the Editor. —We read with interest the article by Couch et al1 in the August 1990 issue of the Archives. It is especially important in reporting complications of surgery that one document compelling evidence that the problem was not preexisting and appropriate examinations were performed to relate the "complication" to the surgery performed.In the cases reported by Couch et al, the authors did not discuss the possibility that breakdown of a preexisting vertical phoria may have caused these patients' diplopia.2 Studies of superior oblique palsy have documented that one of the most common, if not the most common,3 causes of superior oblique palsy is congenital. One may distinguish acute from chronic palsies by review of old photographs for head tilt, measurement of vertical fusional amplitudes, and spread of comitance. In case 1, no mention is made of preexisting head tilt or vertical fusional amplitudes. The References 1. Couch JM, Somers ME, Gonzalez C. Superior oblique muscle dysfunction following anterior ethmoidal artery ligation for epistaxis . Arch Ophthalmol . 1990;108:1110-1113.Crossref 2. Mansour AM, Reinicke RD. Central trochlear palsy . Surv Ophthalmol . 1986;30:279-297.Crossref 3. Von Noorden GK, Murray E, Wong SY. Superior oblique paralysis: a review of 270 cases . Arch Ophthalmol . 1986;104:1771-1776.Crossref 4. Knapp P. Symposium: the superior oblique: classification and treatment of superior oblique palsy . Am Orthoptic J . 1974;24:18-22. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Superior Oblique Palsy as a Complication of Anterior Ethmoidal Artery Ligation?

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Superior Oblique Palsy as a Complication of Anterior Ethmoidal Artery Ligation?

Abstract

Abstract To the Editor. —We read with interest the article by Couch et al1 in the August 1990 issue of the Archives. It is especially important in reporting complications of surgery that one document compelling evidence that the problem was not preexisting and appropriate examinations were performed to relate the "complication" to the surgery performed.In the cases reported by Couch et al, the authors did not discuss the possibility that breakdown of a preexisting vertical...
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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1991.01080060021007
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —We read with interest the article by Couch et al1 in the August 1990 issue of the Archives. It is especially important in reporting complications of surgery that one document compelling evidence that the problem was not preexisting and appropriate examinations were performed to relate the "complication" to the surgery performed.In the cases reported by Couch et al, the authors did not discuss the possibility that breakdown of a preexisting vertical phoria may have caused these patients' diplopia.2 Studies of superior oblique palsy have documented that one of the most common, if not the most common,3 causes of superior oblique palsy is congenital. One may distinguish acute from chronic palsies by review of old photographs for head tilt, measurement of vertical fusional amplitudes, and spread of comitance. In case 1, no mention is made of preexisting head tilt or vertical fusional amplitudes. The References 1. Couch JM, Somers ME, Gonzalez C. Superior oblique muscle dysfunction following anterior ethmoidal artery ligation for epistaxis . Arch Ophthalmol . 1990;108:1110-1113.Crossref 2. Mansour AM, Reinicke RD. Central trochlear palsy . Surv Ophthalmol . 1986;30:279-297.Crossref 3. Von Noorden GK, Murray E, Wong SY. Superior oblique paralysis: a review of 270 cases . Arch Ophthalmol . 1986;104:1771-1776.Crossref 4. Knapp P. Symposium: the superior oblique: classification and treatment of superior oblique palsy . Am Orthoptic J . 1974;24:18-22.

Journal

Archives of Ophthalmology – American Medical Association

Published: Jun 1, 1991

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