congenital or acquired?
can be both
symptoms
pain/discomfort
diplopia
CHP UP
unable to elevate eyes
signs?
ocular motility
differential diagnosis
how to differentiate between browns and IO palsy?
forced duction test
if under 8 - management
routine referral to confirm binocularly stable
monitoring
if over 8 - management
no need to refer if binocularly stable
non-urgent referral if symptomatic
if acquired - management
Refer and treat pathology