Adjustable Bilateral Superior Oblique Tendon Advancement for Bilateral Fourth Nerve Palsy

Bilateral superior oblique palsies.

Eighteen consecutive cases of bilateral superior oblique palsy have been studied retrospectively. The patients were typically adults with a history of severe head trauma. All patients complained of diplopia, either vertical, torsional, or both. Other neurological sequelae were common. Central disruption of fusion was seen in three patients. Eight patients underwent surgery for torsional or vert...

When does masked bilateral superior oblique palsy occur in children?

Bilateral superior rectus transposition and medial rectus recession for bilateral sixth nerve palsy

Purpose To present the results of bilateral superior rectus transposition with medial rectus recession in a case of chronic bilateral sixth nerve palsy. Observation Bilateral superior rectus transposition with medial rectus recession resulted in full correction of esotropia with resolution of horizontal diplopia, improvement in abduction, and regain of stereoacuity in our case. There was mini...

Bilateral superior oblique tendon sheath syndrome. Occurrence and spontaneous recovery in one of uniovular twins.

Brown (I950) defined the features of the superior oblique tendon sheath syndrome and reported five cases. He postulated that the restriction in elevation of the affected eye in the adducted position was caused by a congenitally short anterior tendon sheath of the superior oblique muscle. As the eye moved into adduction, this ligament-like sheath became taut and strongly opposed the action of th...

Superior oblique tendon lengthening for acquired superior oblique overactions.

Two patients who presented with compensatory head postures and diplopia are described. They both had marked unilateral superior oblique overaction, in one patient due to a large, incomitant skew deviation. Each underwent a superior oblique tendon lengthening procedure using a segment of silicone 240 retinal band as an expander, in combination with a contralateral superior rectus recession. Both...