PURPOSE To report antielevation syndrome with restriction of elevation on abduction in the operated eye and overaction (OA) of the inferior oblique muscle (IO) of the contralateral eye after unilateral IO anteriorization (AT). METHODS Medical records were reviewed retrospectively in 8 of 24 patients who underwent unilateral IOAT. Four patients were referred from other hospitals after the same...

Dear Editor, Anterior transposition of the inferior oblique (IO) muscle is an effective treatment for dissociative vertical deviation (DVD) when associated with IO muscle overaction [1]. By transposing the insertion of the IO muscle anterior to the equator, a force vector of the IO muscle converts from elevation to depression, which in turn reduces DVD [1]. After the procedure, the superior rec...

PURPOSE To study causes of overcorrection after surgery for unilateral oblique superior palsy and treatment options. METHODS Nine cases with overcorrection following surgery for unilateral oblique superior palsy between 2004 and 2006 were identified. Their causes were divided into three types: excessive surgery, bilateral masked palsy and antielevation or adherence syndrome. Treatment was req...

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...

BACKGROUND Surgery of the inferior oblique muscle (IO) has undergone significant changes in the past 160 years. Many investigators have contributed to our understanding of the action of this muscle and to the surgical options that have developed. This article reviews the history of IO surgery with particular emphasis on the anterior transposition procedure. METHODS Anatomic and physiologic st...

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 ...