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Daniel M. Jacobson, MD; Gary A. Pesicka, MD
Marshfield, Wis

Arch Ophthalmol. 1991;109(3):320-321.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—We were interested in the article by Couch and colleagues¹ in the August 1990 issue of the ARCHIVES since we had recently encountered a similar case. A 35-year-old man underwent arterial ligation to control right-sided posterior epistaxis. The internal maxillary artery and its infraorbital branch were ligated within the pterygopalatine region via a transantral approach, and the anterior and posterior ethmoidal arteries were ligated via a nasofrontal approach. As his right lid swelling resolved, allowing binocular vision, the patient noted vertical diplopia that improved when he tilted his head to the left. He had a 1-prism diopter (PD) right hypertropia (RHT) in forward gaze, a 3-PD RHT in left gaze, a 1-PD RHT in right gaze, a 3-PD RHT in right head tilt, and a 1-PD RHT in left head tilt. Subjective Maddox rod testing confirmed a motility disturbance consistent with a right-sided superior oblique palsy. . . . [Full Text PDF of this Article]

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