Document Detail


Does inferior oblique recession cause overcorrections in laterally incomitant small hypertropias due to superior oblique palsy?
MedLine Citation:
PMID:  23143910     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To evaluate the effects of inferior oblique muscle recession (IOR) in cases of laterally incomitant hypertropia <10 prism dioptres (PD) in central gaze thact 2t are clinically consistent with superior oblique palsy (SOP).
METHODS: We retrospectively reviewed patients with SOP and hypertropias <10 PD in central gaze who underwent graded IOR. Primary outcomes were reduction of lateral incomitance and number of overcorrections in central gaze.
RESULTS: Twenty-five patients were included. Mean follow-up was 13.8 months (range 1.4-66). Mean central gaze hypertropia decreased from 5.6±2.1 to 0.2±1.6 PD (p<0.001). Contralateral gaze hypertropia decreased from 15.9±7.6 to 2.3±3.3 PD (p<0.001). Lateral incomitance (central vs contralateral gaze) was 10.3±6.9 PD preoperatively and 2.0±3.0 PD postoperatively (p<0.001). There were two patients overcorrected in central gaze, and one patient overcorrected in downgaze. One patient necessitated further surgery for overcorrection.
CONCLUSIONS: Although small hypertropias can be treated with prisms or small, adjustable inferior rectus recessions, IOR collapses incomitance without causing much overcorrection. IOR is a reasonable treatment for small, laterally incomitant hypertropia due to SOP.
Authors:
Karen Hendler; Stacy L Pineles; Joseph L Demer; Arthur L Rosenbaum; Guillermo Velez; Federico G Velez
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2012-11-10
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  97     ISSN:  1468-2079     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-21     Completed Date:  2013-02-26     Revised Date:  2014-02-17    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  England    
Other Details:
Languages:  eng     Pagination:  88-91     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Diplopia / physiopathology
Follow-Up Studies
Humans
Infant
Middle Aged
Oculomotor Muscles / innervation,  physiopathology,  surgery*
Ophthalmologic Surgical Procedures*
Retrospective Studies
Strabismus / etiology*,  physiopathology,  surgery*
Suture Techniques
Trochlear Nerve Diseases / complications*
Vision, Binocular / physiology
Visual Acuity / physiology
Young Adult
Grant Support
ID/Acronym/Agency:
EY08313/EY/NEI NIH HHS; K23 EY021762/EY/NEI NIH HHS; K23EY021762/EY/NEI NIH HHS; P30 EY000331/EY/NEI NIH HHS; R01 EY008313/EY/NEI NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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