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.
1Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
2Hôpital Ophtalmique Jules Gonin, Dept of Neuro-Ophthalmology, Lausanne, Switzerland
Reprint address: Rod Foroozan, MD, Cullen Eye Institute, 6550 Fannin, Houston TX 77030.
The authors have no proprietary interest in any contents within this manuscript. Dr. Foroozan was supported by the Heed Ophthalmic Foundation, Cleveland, Ohio.