Monocular elevation deficiency ("double elevator" palsy): a cautionary note

J Neuroophthalmol. 2011 Mar;31(1):56-7. doi: 10.1097/WNO.0b013e3181fb4a18.


Monocular elevation deficiency (or "double elevator" palsy) is a descriptive term denoting a congenital deficiency of monocular elevation that is equal in abduction and adduction. We describe a child with monocular elevation deficiency who displayed tethering and buckling of the central lower eyelid in downgaze. We caution that this manifestation of inferior rectus contracture can simulate impaired infraduction in the involved eye.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child, Preschool
  • Disability Evaluation
  • Eyelids / physiopathology*
  • Humans
  • Male
  • Ocular Motility Disorders / diagnosis*
  • Ocular Motility Disorders / physiopathology*
  • Oculomotor Muscles / innervation*
  • Oculomotor Muscles / physiopathology