The diagnosis and surgical management of acquired bilateral superior oblique palsy

Surgical effects of nasal transposition of inferior rectus muscle – 135 cases of acquired superior oblique palsy

Nasal transposition of the inferior rectus (IR) muscle, which is transposed nasally with the insertion parallel to the spiral of Tillaux, could correct excyclotropia. However, as far as we are aware, there have been no reports examining the surgical effects of this procedure in multiple cases. Therefore, we examined the surgical effects of IR nasal transposition in 135 cases with acquired troch...

When does masked bilateral superior oblique palsy occur in children?

botulinum toxin injection into inferior oblique muscle for treatment of acquired superior oblique palsy

purpose: to evaluate the effect of botulinum toxin-a (bta) injection into the inferior oblique (io) muscle in releaving the symptoms of superior oblique (so) palsy. methods: the study was conducted on patients who were referred for acquired so palsy with less than 2 years of duration. about 10-20 unit of bta was injected into the belly of the inferior oblique muscle through the inferotemporal q...

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...

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...