Trochleaectomy: An Effective Treatment of Trochlear Pain in Monocular Patients

Pradeep Mettu, Ronald Mancini, Deborah I Friedman, James A. Garrity

Research output: Contribution to journalArticlepeer-review


BACKGROUND: Conventional treatment options for trochlear pain arising from trochleitis or primary trochlear headache include oral anti-inflammatory medications and/or local injection of corticosteroids and local anesthetic. Trochleaectomy is an additional option to consider for monocular patients with intractable trochlear pain. METHODS: We report 3 patients undergoing trochleaectomy for refractory trochlear pain syndromes. RESULTS: Trochleaectomy resulted in resolution of their periocular discomfort. CONCLUSIONS: Trochleaectomy is an effective procedure to treat trochlear pain syndrome in functionally monocular patients.

Original languageEnglish (US)
Pages (from-to)246-250
Number of pages5
JournalJournal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
Issue number2
StatePublished - Jun 1 2021

ASJC Scopus subject areas

  • Medicine(all)


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