title: [Diagnostic and therapeutic difficulties in double depressors paralysis--DDP].
abstract: Double depressor palsy is a rare monolateral condition showing a down gaze difficulty, associated sometimes with a superior lid retraction.
  
  
  METHODS
  The paper presents the clinical situation and the surgical treatment in a patient with the symptoms of double depressors palsy. The surgical treatment consisted in deinsertion of the inferior oblique, recession of the medial rectus, and advancement of the lateral rectus 6.5 mm from the limbus. Surgery led to good alignment in the horizontal and vertical plan, but a slight limitation of abduction and of downward gaze persisted.
authors.affiliation: Clinica Oftalmologică Cluj-Napoca.
authors.forename: Cristina
authors.initials: C
authors.lastname: Vlăduţiu
authors.forename: Codruţa
authors.initials: C
authors.lastname: David
mesh_terms: D000293:Adolescent; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery; D009886:Ophthalmoplegia / Q000175:diagnosis* / Q000601:surgery*; D013285:Strabismus / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome