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Re: Re: articles on vision exam???

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In a message dated 1/2/02 7:38:42 PM Pacific Standard Time, clugston@... writes:

I understood the

article as it suggest the congenital superior oblique palsy causes the

plagio and facial asymmetry, as it. I not sure I agree with that. Here is

the article: http://www.aapos.org/pappostp5/paper96_8.html

thanks a lot! I will check it out. I sure wish it said that the plagio causes the superior oblique palsy. I will read it and see if it will help. I REALLY appreciate it!

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Amy,

Having a superior oblique ( 4th nerve) palsey means that there is partial or

total loss of function of the 4th (trochlear) cranial nerve. It is the 4th

nerve that supplys the superior oblique muscle of the eye. Babies and

children usually present with a head tilt to keep from seeing double.

If the article suggests that this causes plagio? I find that hard to

believe. In other words I agree with you. It may be that some kids with

plagio may have the SO4 as well (again another reason to see an

Ophthalmologist) or maybe that they should be sure to rule it out if they

have a head tilt. I'll read the article.

Thanks for the info.

Florida (used to live in Michigan :) )

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Amy,

Now I understand. I read the article. I believe what they mean when they

say that SO palsy can cause pagio is this... With SO palsy there is

usually a head tilt or turn to help with binocularity. If the head is always

turned...plagiocephaly can occur if always in this position. Understand? I

think that's what they mean. Not certain. Take the article to your

daughters Ophthalmologist. Let me know.

Florida

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