PMID: 15344200Sep 3, 2004Paper

Anterior transposition of inferior oblique muscle for treatment of unilateral superior oblique muscle palsy with inferior oblique muscle overaction

Yonsei Medical Journal
Yoon-Hee ChangSueng-Han Han

Abstract

Although many weakening procedures for the inferior oblique muscle have been advocated, there is some controversy as to the most beneficial procedure for weakening overacting inferior oblique muscles. This study was undertaken to determine if unilateral anterior transposition of the inferior oblique muscle alone could be a safe and effective procedure for treating unilateral superior oblique palsy from the perspective of hypertropia, inferior oblique overaction, and abnormal head posture. The records of 33 patients, who underwent anterior transposition of the inferior oblique muscle for unilateral superior oblique palsy at our institution between Jan 1995 and Dec 2002, were retrospectively reviewed. The average preoperative inferior oblique overaction was 2.3 +/- 0.64, and the hypertropia in the primary position was 12.3 +/- 7.69 prism diopter (PD). Twenty-six patients showed head tilt to the opposite direction preoperatively. After the anterior transposition of the inferior oblique, inferior oblique overaction was diminished in 32 patients (97%). Twenty-six out of 33 patients (79%) had no hypertropia in the primary position at last postoperative assessment. Of the 26 patients with head tilt before surgery, 21 patients (81%) ac...Continue Reading

Citations

Sep 3, 2013·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Majid FarvardinSara Pakdel
Nov 26, 2009·Journal of Pediatric Ophthalmology and Strabismus·Kadircan H Keskinbora
Jul 8, 2011·Journal of Pediatric Ophthalmology and Strabismus·Ihsan CacaUmut Akbas
Feb 20, 2007·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Noa Ela-DalmanArthur L Rosenbaum
Aug 25, 2017·Journal of Pediatric Ophthalmology and Strabismus·Yuan-Yao Fan, Meng-Ling Yang
Aug 10, 2019·Journal of Ophthalmology·Ercan OzsoyEmrah Ozturk

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