Mia Zhang1,2, David Hunter2,3, Aubrey Gilbert2,3

Topics: Challenging cases, New technique and devices

We present a rare case of superior oblique myokymia (SOM) of the left eye in a 69-year-old woman with a complicated history of congenital left superior oblique paresis and strabismus. Currently there is no established treatment protocol for SOM. We recorded episodes of her SOM before and after treatment with levobunolol 0.5% topical eye drops. Upon administration of levobunolol twice daily, she experienced immediate symptomatic improvement of her SOM that was maintained at follow up 6 weeks later. The video is 3 minutes in length and complete with voice over.

Category: Community ophthalmology