this article presents a new technique for weakening the superior oblique muscle by lengthening it's tendon. lengthening is accomplished by a nasal superior oblique tenotomy, and by inserting a segment of silicone band 240 between the cut ends of the tendon. this technique is useful for the treatment of brown syndrome and cases with superior oblique overaction.

PURPOSE To evaluate the clinical features, etiology and outcomes of treatment for superior oblique (SO) palsy over a 10-year period at Labbafinejad Medical Center. METHODS A complete ophthalmologic examination with particular attention to forced duction test (FDT) and tendon laxity was performed in all patients preoperatively. The palsy was divided into congenital and acquired types. RESULT...

A 63-year-old patient was admitted with acute ataxia and binocular oblique diplopia. Neuroophthalmologic examination revealed abducting hypertropia on lateral gaze, better seen during upgaze, mimicking bilateral inferior oblique palsy (video, figure). There was no ocular cyclotorsion. Brain MRI revealed focal ischemic lesions in the right cerebellar hemisphere and left superior colliculus (figu...