Aseff AJ. Munoz M.
Bascom Palmer Eye Institute, Ann Bates Leach Eye Hospital, Miami, Florida, USA.
Outcome of surgery for superior oblique
palsy with contracture of ipsilateral
superior rectus treated by superior rectus
Binocular Vision & Strabismus Quarterly. 13(3 3rd Qtr):177-80, 1998 Fall.
PURPOSE: To report our experience with this special subgroup of patients with
superior oblique palsy.
SUBJECTS AND METHODS: All six patients seen since 1990 which the senior
author treated who had a unilateral superior
oblique palsy accompanied by ipsilateral
superior rectus muscle contracture. Surgical management included superior rectus
recession along with treatment of the superior oblique palsy by one of several
appropriate procedures. RESULTS: Five out of six had an "excellent"
surgical outcome defined as no diplopia in primary and reading position, elimination
of their abnormal head posture and normalization of versions postoperatively.
The sixth patient continued to have a small intermittent vertical deviation, but
was functionally satisfactory. CONCLUSIONS: This subset of individuals with superior
oblique palsy and ipsilateral rectus contracture can be improved with weakening
of the ipsilateral superior rectus as part of the surgical plan.