Survey of Ophthalmology
Volume 51, Issue 1 , Pages 63-67, January 2006

Jumping Jack Flash

  • Rod Foroozan, MD

      Affiliations

    • Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
    • Corresponding Author InformationReprint address: Rod Foroozan, MD, Cullen Eye Institute, 6550 Fannin, Houston TX 77030.
    • ,
  • Lawrence M. Buono, MD

      Affiliations

    • Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
    • ,
  • Robert C. Sergott, MD

      Affiliations

    • Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
    • ,
  • Aki Kawasaki, MD, MER

      Affiliations

    • Hôpital Ophtalmique Jules Gonin, Dept of Neuro-Ophthalmology, Lausanne, Switzerland

PETER SAVINO AND HELEN DANESH-MEYER, EDITORS

Abstract 

A 38-year-old woman presented with blurred vision and “jumping” of the right eye for 7 months. Magnetic resonance imaging of the head was normal. Intermittent intorsion of the right eye was noted on examination, consistent with superior oblique myokymia. She was initially treated with carbamazepine but stopped after becoming light-headed. The diagnosis and treatment of superior oblique myokymia are discussed.

Key words: fourth nerve palsy, intorsion, oscillopsia, superior oblique myokymia (SOM)

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 The authors have no proprietary interest in any contents within this manuscript. Dr. Foroozan was supported by the Heed Ophthalmic Foundation, Cleveland, Ohio.

PII: S0039-6257(05)00197-9

doi:10.1016/j.survophthal.2005.11.006

Survey of Ophthalmology
Volume 51, Issue 1 , Pages 63-67, January 2006

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