Abstract
Double elevator palsy (DEP) currently known as Monocular Elevation Deficit is a rare condition characterized by restricted elevation of one eye in all positions of up gaze. Clinically it presents as a unilateral restriction of superior rectus (SR) and inferior oblique (IO). We present a case report of DEP in 3 year old boy who presented with sudden onset of DEP in right eye in our OPD. Very little information on acquired causes of DEP is available. Diagnosis, differential diagnosis and management are discussed and then the literature is reviewed.
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