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Trochleitis is inflammation of the superior oblique tendon trochlea apparatus characterized by localized swelling, tenderness, and severe pain. This condition is an uncommon but treatable cause of periorbital pain. The trochlea is a ring-like apparatus of cartilage through which passes the tendon of the superior oblique muscle.
The sensation of pain has been described by patients as "burning eyes", "terrible, unrelenting pain", a feeling of "a knife in my eye" or "paper cuts". [5] The pain is usually described as being located in and around the eye, but can progress to the surrounding areas of the face and head. A signature characteristic of ocular neuropathic pain is ...
Sometimes the facial pain can extend to the back of the head and down into the neck, says Goudy. ... (or eye socket), this is called periorbital cellulitis, says Goudy, which commonly affects ...
To summarize, the actions of the superior oblique muscle are (1) depression of the eyeball, especially when the eye is adducted; and (2) intorsion of the eyeball, especially when the eye is abducted. The clinical consequences of weakness in the superior oblique (caused, for example, by fourth nerve palsies) are discussed below.
The typical form results in episodes of severe, sudden, shock-like pain in one side of the face that lasts for seconds to a few minutes. [1] Groups of these episodes can occur over a few hours. [1] The atypical form results in a constant burning pain that is less severe. [1] Episodes may be triggered by any touch to the face. [1]
Her doctor had never seen anything like it. For premium support please call: 800-290-4726 more ways to reach us
supraorbital pressure - this is the manual stimulation of the supraorbital nerve by pressing a thumb into the indentation above the eye, near the nose. [2] sternal rub - this involves creating a turning pressure (akin to a grinding motion with a pestle and mortar) on the patient's sternum [1]
In Mahmood’s case, this led to asymmetry, as one eye was opening more to compensate for the other eye’s weakness. Even after she stopped using lash serum, Mahmood ended up having surgery to ...