| Diagnosis and treatment of isolated inferior oblique muscle palsy: a report of seven cases. | |
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MedLine Citation:
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PMID: 9852426 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To review and report our experience in attempting to surgically eliminate the vertical deviations and the anomalous head posture in patients with inferior oblique palsy (IOP) and to add to the literature another etiology for IOP: denervation/myectomy of that muscle. SUBJECTS AND METHODS: Seven patients demonstrating findings characteristic of an isolated IOP are reported. Six were unilateral and one was bilateral. All met the Bielschowsky/Parks' Three Step Test criteria to identify an isolated IOP. Six patients had surgery that consisted of weakening the superior oblique (SO) muscle of the affected eye alone or in combination with superior rectus recession of the fellow eye. RESULTS: All patients were ultimately successfully alleviated of their vertical deviations and anomalous head postures. (Two patients developed an iatrogenic superior oblique palsy (SOP) which responded well to additional surgery.) CONCLUSIONS: The treatment of choice for IOP is tenotomy or tenectomy of the ipsilateral superior oblique muscle alone or in combination with recession of the contralateral superior rectus muscle. |
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Authors:
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E Khawam; J Menassa; A Jaber; S Farah |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Binocular vision & strabismus quarterly Volume: 13 ISSN: 1088-6281 ISO Abbreviation: Binocul Vis Strabismus Q Publication Date: 1998 |
Date Detail:
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Created Date: 1999-01-11 Completed Date: 1999-01-11 Revised Date: 2005-12-20 |
Medline Journal Info:
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Nlm Unique ID: 9607281 Medline TA: Binocul Vis Strabismus Q Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 45-52 Citation Subset: IM |
Affiliation:
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Ophthalmology Department, American University of Beirut Medical Center, Beirut, Lebanon. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Child Child, Preschool Diagnostic Techniques, Ophthalmological Eye Movements Female Head Humans Male Muscle Denervation Oculomotor Muscles / pathology*, surgery* Ophthalmoplegia / congenital, diagnosis*, surgery* Posture Vision, Binocular |
| Comments/Corrections | |
Comment In:
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Binocul Vis Strabismus Q. 1998;13(2):85
[PMID:
9852499
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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