INTRODUCTION Recurrent or persistent inferior oblique overaction may occur after inferior oblique (IO) recession or anterior transposition. IO nasal and temporal myectomy and anterior-nasal transposition may result in undesirable IO palsy, exotropia, incyclotorsion, or limitation of elevation. Previous studies have shown that a rectus extraocular muscle may be profoundly weakened if the muscle ...

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...

BACKGROUND Unilateral and bilateral anterior transpositions of the inferior oblique muscle (ATIOs) for primary inferior oblique (IO) muscle overaction may produce apparent new or recurrent overaction of the contralateral IO muscle. This effect has been termed "antielevating" and can produce overaction of the contralateral elevators in adduction that mimics recurrent or new overaction of the IO ...

Background: In 1991, Wright described a superior oblique expander procedure for browns syndrome and superior overaction with good results. Originally, this procedure has been performed with silicone band expander. The aim of this study was to report the results of treatment of a series of patients with A-pattern strabismus associated with overacting superior oblique muscle using the fascia lata...

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...

289 Soltan Sanjari et al[1] are to be commended on their paper “Surgical treatments in inferior oblique muscle overaction”. They report on a retrospective study of the treatment for inferior oblique overaction (IOOA) performed over a 10‐year period on 122 eyes utilizing three different surgical techniques to weaken the inferior oblique muscle. Disinsertion on 12 eyes, myectomy on 91 eyes, and a...

PURPOSE Previous studies of accommodative esotropia have been hampered by bias-prone methods of data collection and analysis and by small sample size. The studies have conflicting conclusions, causing uncertain results. This study aims to determine long-term results of standard treatment of accommodative esotropia and identify predictors of outcome, while minimizing bias in data collection and ...