To identify ARIX gene and PHOX2B gene polymorphisms in patients with congenital superior oblique muscle palsy, 3 exons of the ARIX gene and PHOX2B gene were sequenced by genomic DNA amplification with polymerase chain reaction (PCR) and direct sequencing in 31 patients with congenital superior oblique muscle palsy and in 54 normal individuals. A family with a father and one daughter each having...

OBJECTIVE To describe the clinical features, etiology, and management of superior oblique tendon incarceration syndrome. METHODS This series consists of all patients I treated between September 15, 1974, and March 1, 2006, for restrictive hypertropia in which the superior oblique tendon was found scarred to the superior rectus muscle insertion after prior surgery. RESULTS Twenty eyes in 18 ...

purpose : to evaluate the results of anterior and nasal transposition (ant) of the inferior oblique muscle (io) in patients with the io muscle overaction methods : this retrospective case series included patients with io muscles overaction, in whom ant of the io muscle was performed. in patient with simultaneous horizontal deviation, horizontal strabismus surgery was also performed. they were e...

Traumatic rupture of the superior oblique muscle is rare. We report a case of a 54-year-old man injured by the metal hook of a hanger, resulting in a rupture of the superior oblique muscle tendon. He complained of torsional diplopia when in the primary position. The distal margin of the superior oblique muscle was reattached to sclera 5 and 9 mm apart from the medial insertion of the superior r...

PURPOSE The rectus extraocular muscles pass through fibromuscular connective tissue pulleys that stabilize muscle paths and control the direction of muscle pull. The authors investigated whether abnormal forces associated with superior oblique palsy can cause displacement of pulleys and muscle paths. METHODS Coronal magnetic resonance imaging (MRI) showing significantly reduced superior obliq...

BACKGROUND Inferior oblique muscle overaction of variable amounts is usually present with congenital superior oblique palsy. Inferior oblique muscle anteriorization has been described as a suitable surgical procedure in this entity. The aim of this study was to investigate the effect of inferior oblique muscle anteriorization in patients with congenital superior oblique palsy on vertical, torsi...

BACKGROUND The purpose of this paper is to review different types of superior oblique muscle surgeries, to describe the main areas in clinical practice where superior oblique surgery is required or preferred, and to discuss the preferred types of superior oblique surgery with respect to their clinical outcomes. METHODS A consecutive nonrandomized retrospective series of patients who had under...

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 i...

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...