Double Elevator Palsy with Congenital Esotropia: A Case Study

Marika Hensman, BOrth&OphthSc
Department of Clinical Vision Sciences, La Trobe University, Melbourne, Australia

This case study follows Master JT, a young boy who has congenital esotropia in addition to a right double elevator palsy. Ocular assessment of the patient is outlined as well as management and surgical treatment. The characteristics of congenital esotropia and double elevator palsy are discussed in context with the child’s presentation. The importance of performing a forced duction test to determine the classification of double elevator palsy and options or surgery is stressed. Rationale over surgical choices and likely prognosis are included.