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EyeWiki is where ophthalmologists, other physicians, patients and the public can view articles written by ophthalmologists, covering the vast spectrum of eye disease, diagnosis and treatment. Any qualified ophthalmologist or ophthalmologist in training is invited to contribute content to the wiki.

Featured Article

Featured Article for August 15, 2019

Monocular elevation deficit

Monocular Elevation Deficiency (MED) is the limitation of elevation of the affected eye from any position of gaze with normal ductions in all other gazes. MED is a frequent cause of hypotropia and can be associated with ptosis/pseudoptosis. Superior rectus palsy, inferior rectus restriction and supranuclear lesions have been found to be contributory to MED.

MED can be congenital or acquired . Congenital cases of MED occur sporadically. Congenital causes of MED include, supranuclear palsy, primary superior rectus (SR) paresis and primary inferior rectus(IR) restriction as in cases of congenital fibrosis of inferior rectus. Acquired MED is usually caused by trauma, cerebrovascular diseases like hypertension, thromboembolism, sarcoidosis, syphilis, and midbrain tumors like pineocytomas, acoustic neuromas and metastatic tumors affecting supranuclear pathways.

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EyeWiki Editorial Board

Marcus Marcet, M.D.
Deputy Editor-in-Chief 
Penny Asbell, M.D.

Section Lead Editors

Cataract/Anterior Segment  
Alpa S. Patel, M.D.
Cornea/External Disease  
Vatinee Bunya, MD
Ahmad A. Aref, MD
Andrew Go Lee, MD
Ocular Trauma  
Anna Murchison, MD, MPH
Cat Nguyen Burkat, MD FACS
Matthew W. Wilson, MD, FACS
Pediatric Ophthalmology/Strabismus  
Monte A Del Monte, MD
Refractive Management/Intervention  
Majid Moshirfar, M.D.
Jennifer I Lim MD
Alan Palestine, MD