Superior oblique paresis after endoscopic brow lift: A case report

• Published in: Clinical case reports Vol. 12; no. 7; pp. e9044 - n/a
• Main Authors: Shekarchian, Farid, Motamed Shariati, Mehrdad, Karimi Amir Abadi, Mitra
• Format: Journal Article
• Language: English
• Published: Bognor Regis John Wiley & Sons, Inc 01.07.2024; John Wiley and Sons Inc; Wiley
• Subjects: Alopecia; Baldness; Case Report; Case reports; Conflicts of interest; Consent; Diplopia; Editing; Endoscopy; forehead lift procedure; Hematoma; Iatrogenesis; infrared reflectance image; Injuries; Ophthalmology; Paresis; superior oblique paresis; Surgery; Surgical techniques; Trauma; Writing
• ISSN: 2050-0904; 2050-0904
• DOI: 10.1002/ccr3.9044

Key Clinical Message Although a forehead lift is generally a safe surgery, it has well‐known complications. Iatrogenic SO paresis is one of the rare complications following forehead lifting procedures which almost resolves spontaneously. This report aims to introduce a woman with superior oblique (SO) muscle paresis following the brow and forehead lift procedure. A 30‐year‐old woman with a history of brow and forehead lift surgery was referred to the ophthalmic emergency department complaining of vertical diplopia. A right eye hypertropia was obvious at the left gaze. A Park's three‐step test showed right eye superior oblique paresis. Other ophthalmic examinations including slit‐lamp examination, tonometry, and dilated fundoscopy were unremarkable for both eyes. After a 3‐month follow‐up period, she had no diplopia. No sign of SO paresis was apparent in her ocular motility examinations. Iatrogenic SO paresis is one of the rare complications following forehead lifting procedures which almost resolves spontaneously.