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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Updated: Oct 28, 2025

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Diplopia After Migraine Surgery.

Tuna Celik Buyuktepe1, Pinar Bingöl Kiziltunç2, Huban Atilla2

  • 1Department of Ophthalmology, Dr Nafiz Korez Sincan State Hospital, Ankara, Turkey.

Ophthalmic Plastic and Reconstructive Surgery
|July 16, 2021
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Summary

Decompressive migraine surgery can cause superior oblique palsy, a rare complication. This case highlights potential trochlear nerve damage during orbital surgery, emphasizing careful surgical technique to avoid vision problems.

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Area of Science:

  • Ophthalmology
  • Neurosurgery
  • Migraine Surgery

Background:

  • Refractory migraine headaches necessitate surgical intervention.
  • Decompressive surgery targets supraorbital and supratrochlear nerves.

Observation:

  • A patient developed new-onset diplopia post-migraine surgery.
  • Symptoms improved with a left head tilt, suggesting a cranial nerve issue.

Findings:

  • Ophthalmological examination confirmed right superior oblique palsy.
  • This is the first reported case potentially linked to inadvertent orbital septum entry during surgery.

Implications:

  • Highlights a rare complication of decompressive migraine surgery.
  • Underscores the importance of precise surgical navigation to protect ocular structures.
  • Suggests potential for trochlear nerve or muscle injury during orbital procedures.