Diagnostic evaluation and surgical outcome of idiopathic isolated, acquired inferior oblique palsy: a rare presentation.

Isolated inferior oblique muscle palsy is the least common of all extra-ocular muscle palsies and very few reports are available in the literature. It can present a formidable therapeutic challenge to the ophthalmologist, as treatment options need to be titrated on an individual basis. A patient of 60 years old of idiopathic right inferior oblique palsy who underwent an adjustable superior rectus recession in his left eye, with a satisfactory surgical outcome and symptomatic resolution of diplopia is reported.