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Trochleaectomy: An Effective Treatment of Trochlear Pain in Monocular Patients
Pradeep Mettu1, Ronald Mancini, Deborah I Friedman
1Raleigh Eye and Face Plastic Surgery (PM), Raleigh, North Carolina; Departments of Ophthalmology (RM) and Neurology and Neurotherapeutics and Ophthalmology (DIF), University of Texas Southwestern Medical Center, Dallas, Texas; and Department of Ophthalmology (JAG), Mayo Clinic, Rochester, Minnesota.
Background:
Conventional treatment options for trochlear pain arising from trochleitis or primary trochlear headache include oral anti-inflammatory medications and/or local injection of corticosteroids and local anesthetic. Trochleaectomy is an additional option to consider for monocular patients with intractable trochlear pain.
Methods:
We report 3 patients undergoing trochleaectomy for refractory trochlear pain syndromes.
Results:
Trochleaectomy resulted in resolution of their periocular discomfort.
Conclusions:
Trochleaectomy is an effective procedure to treat trochlear pain syndrome in functionally monocular patients.
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