The Effect of Graded Recession and Anteriorization on Unilateral Superior Oblique Palsy
Korean Journal of Ophthalmology
;
: 188-191, 2006.
Article
in English
| WPRIM
| ID: wpr-74693
ABSTRACT
PURPOSE:
We wanted to examine the effect of graded recession and anteriorization of the inferior oblique muscle on patients suffering from unilateral superior oblique palsy.METHODS:
Inferior oblique muscle graded recession and anteriorization were performed on twenty-two patients (22 eyes) with unilateral superior oblique palsy. The recession and anteriorization were matched to the degree of inferior oblique overaction and hypertropia. The inferior oblique muscle was attached 4 mm posterior to the temporal border of the inferior rectus muscle in six eyes, 3 mm posterior in five eyes, 2 mm posterior in five eyes, 1 mm posterior in five eyes, and parallel to the temporal border in one eye.RESULTS:
The average angle of vertical deviation prior to surgery was 11.3+/-3.9 prism diopters (PD). The total average correction in the angle of vertical deviation after surgery was 10.8+/-3.8 PD. In the parallel group, the average reduction was 14 PD. After surgery, normal inferior oblique muscle action was seen in eighteen of twenty-two eyes (81.8%).CONCLUSIONS:
Graded recession and anteriorization of the inferior oblique muscle is thought to be an effective surgical method to treat unilateral superior oblique palsy of less than 15 PD.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ophthalmologic Surgical Procedures
/
Oculomotor Nerve Diseases
/
Retrospective Studies
/
Follow-Up Studies
/
Treatment Outcome
/
Eye Movements
/
Oculomotor Muscles
Type of study:
Observational study
/
Prognostic study
Limits:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Language:
English
Journal:
Korean Journal of Ophthalmology
Year:
2006
Type:
Article
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