Spontaneous consecutive XXXX following @entity6125 .

@entity15170 @entity131 @entity174 @entity542 @entity10302 @entity2694 @entity892 @entity3312 @entity6125 @entity1779 @entity130
A 28-year-old female presented with a left @entity6125 , after indirect @entity542 , with no @entity174 or @entity2694 . She had @entity892 , a @entity15170 and excyclotropia on right downgaze. Three months later the trochlear palsy had been replaced by @entity10302 : a deficit of elevation in adduction, with @entity892 , incyclotropia and @entity15170 in up-gaze. The @entity3312 remained the same over a period of 18 months. A 31-year-old male suffered from severe @entity131 with @entity1779 and @entity6125 . Three years later, he had a bilateral trochlear palsy with bilateral severe @entity10302 , with a right @entity15170 and 10   to 25   incyclotropia in upgaze and 5   to 10   excyclotropia in downgaze. The field of binocular vision was shifted to left gaze. Orbital CT scan was normal. At surgery, the forced duction test was positive for @entity10302 on both sides and the tendon of the superior oblique muscle of the right eye was thickened. The field of binocular vision was centralized after surgery but torsional @entity892 in upgaze and downgaze was present as before. Secondary @entity10302 after (persisting or vanishing) @entity6125 without any direct @entity130 to the superior oblique muscles or the orbit could be caused by a fibrotic reaction of the superior oblique tendon or adjacent structures. This could be due to inactivity or to indirect @entity130 .
