The author describes his experience with diplopia during uncomplicated pregnancy in 3 of 25 (12%) women with neurologically isolated unilateral superior oblique palsy. These three patients had visual sensory and ocular motor findings that suggested they had longstanding latent vertical deviations that decompensated during pregnancy. Two of these three women experienced resolution of symptoms shortly after delivery. Increased recognition of the benign association between decompensation of a latent superior oblique palsy and pregnancy may obviate the need to further evaluate such patients with neuroimaging studies or other procedures.
Adult Female