Superior oblique palsy: A case report

Figures & data

Table 1. Visual acuity

Eye	Unaided distance VA at 20 ft.	Unaided near VA at 40 cm	Pinhole VA at 20 ft.
OD	20/400	20/320	20/150
OS	20/20	20/16	−
OU	20/20	20/16	−

Patient does not currently wear spectacles.

Table 2. Dry refraction

Eye	Rx.	V.A.
OD	−3.75/-2.25 x 90	20/100
OS	PL	20/20
OU		20/20^−2

Table 3. Wet refraction or cycloplegic refraction

Eye	Rx.	V.A.
OD	−3.50/-2.50 x 105	20/100
OS	−0.25 Ds	20/20
OU		20/20^−2

Table 4. Final prescription

Eye	Final Rx.	Distance V.A.	Near V.A
OD	−3.50/-2.50 x 105	20/100	20/50
OS	−0.25 Ds	20/20	20/20
OU		20/20^−2	20/20

Table 5. Other preliminary tests

Test	Results or findings
Pupillary exam	No relative afferent pupillary defect
Duction test: Broad H test	Diplopia on down gaze and to the right
Confrontation visual field test with counting finger	Full and unrestricted
Intra ocular pressure	OD: 10, 11, 10 OS: 10, 12, 10
Near point of convergence	8 cm
Slit lamp examination	No abnormality was detected
Ophthalmoscopy	The disc was pink and distinct on both eyes
Optical Coherence Tomography (OCT)	Excyclotorsion and hypo deviation of the fovea of the left eye and hyperdeviation of the fovea of the right eye were observed (Figures 1)

Figure 1. Optical coherence tomography for the right and left eye