Inferior Oblique Surgery

Outcomes of Unilateral Inferior Oblique Myectomy Surgery in Inferior Oblique Overaction Due to Superior Oblique Palsy

“…Therefore, like many other clinical studies, our results are not consistent with those of Min et al 13 in terms of change over time or success criteria. 12 , 14 , 15 , 16 , 17 …”

Outcomes of Unilateral Inferior Oblique Myectomy Surgery in Inferior Oblique Overaction Due to Superior Oblique Palsy

“…Therefore, like many other clinical studies, our results are not consistent with those of Min et al 13 in terms of change over time or success criteria. 12 , 14 , 15 , 16 , 17 …”

Anterior Transposition of the Inferior Oblique Muscle in the Treatment of Unilateral Superior Oblique Palsy

“…In addition to the vertical rectus muscle surgery, the options to correct the vertical deviation due to superior oblique palsy include strengthening of the ipsilateral superior oblique muscle and weakening of the ipsilateral inferior oblique muscle. 1,4,5 Although the surgical outcomes of superior oblique palsy surgery are less predictable, complications such as iatrogenic Brown syndrome make inferior oblique muscle weakening operations a more popular option. Furthermore, inferior oblique weakening operations have been reported to improve the superior oblique muscle underaction coexisting with primary inferior oblique muscle overaction.…”

“…6 Various surgical procedures have been described to weaken the ipsilateral inferior oblique muscle, such as inferior oblique myectomy, graded recession, disinsertion, extirpation, marginal myotomy, and, more recently, inferior oblique muscle anterior transposition and their modifications. [4][5][6][7] Among those, inferior oblique myectomy, inferior oblique recession, and inferior oblique anterior transposition appear to be the most popular.…”

“…The efficacy of inferior oblique anterior transposition to correct inferior oblique muscle overaction resulting from long-standing superior oblique muscle palsy has been well documented. [5][6][7][8][9][10][11] Because the majority of patients with unilateral superior oblique palsy present with significant overaction of the ipsilateral inferior oblique muscle, weakening of this muscle becomes the first priority when considering which procedure to use. Anterior transposition may work in part by converting the inferior oblique muscle from an elevator to a depressor of the globe.…”

When is Isolated Inferior Oblique Muscle Surgery an Appropriate Treatment for Superior Oblique Palsy?

“…The surgical techniques to correct superior oblique palsy include anterior transposition (anteriorization), recession, disinsertion, myotomy, myectomy, and denervation-extirpation (5)(6)(7).…”

Outcomes of Unilateral Inferior Oblique Myectomy Surgery in Inferior Oblique Overaction Due to Superior Oblique Palsy

“…Therefore, like many other clinical studies, our results are not consistent with those of Min et al 13 in terms of change over time or success criteria. 12 , 14 , 15 , 16 , 17 …”

Anterior Transposition of the Inferior Oblique Muscle in the Treatment of Unilateral Superior Oblique Palsy

“…In addition to the vertical rectus muscle surgery, the options to correct the vertical deviation due to superior oblique palsy include strengthening of the ipsilateral superior oblique muscle and weakening of the ipsilateral inferior oblique muscle. 1,4,5 Although the surgical outcomes of superior oblique palsy surgery are less predictable, complications such as iatrogenic Brown syndrome make inferior oblique muscle weakening operations a more popular option. Furthermore, inferior oblique weakening operations have been reported to improve the superior oblique muscle underaction coexisting with primary inferior oblique muscle overaction.…”

“…6 Various surgical procedures have been described to weaken the ipsilateral inferior oblique muscle, such as inferior oblique myectomy, graded recession, disinsertion, extirpation, marginal myotomy, and, more recently, inferior oblique muscle anterior transposition and their modifications. [4][5][6][7] Among those, inferior oblique myectomy, inferior oblique recession, and inferior oblique anterior transposition appear to be the most popular.…”

“…The efficacy of inferior oblique anterior transposition to correct inferior oblique muscle overaction resulting from long-standing superior oblique muscle palsy has been well documented. [5][6][7][8][9][10][11] Because the majority of patients with unilateral superior oblique palsy present with significant overaction of the ipsilateral inferior oblique muscle, weakening of this muscle becomes the first priority when considering which procedure to use. Anterior transposition may work in part by converting the inferior oblique muscle from an elevator to a depressor of the globe.…”

When is Isolated Inferior Oblique Muscle Surgery an Appropriate Treatment for Superior Oblique Palsy?

“…The surgical techniques to correct superior oblique palsy include anterior transposition (anteriorization), recession, disinsertion, myotomy, myectomy, and denervation-extirpation (5)(6)(7).…”

Outcomes of Unilateral Inferior Oblique Myectomy Surgery in Inferior Oblique Overaction Due to Superior Oblique Palsy

“…Therefore, like many other clinical studies, our results are not consistent with those of Min et al 13 in terms of change over time or success criteria. 12 , 14 , 15 , 16 , 17 …”

Anterior Transposition of the Inferior Oblique Muscle in the Treatment of Unilateral Superior Oblique Palsy

“…In addition to the vertical rectus muscle surgery, the options to correct the vertical deviation due to superior oblique palsy include strengthening of the ipsilateral superior oblique muscle and weakening of the ipsilateral inferior oblique muscle. 1,4,5 Although the surgical outcomes of superior oblique palsy surgery are less predictable, complications such as iatrogenic Brown syndrome make inferior oblique muscle weakening operations a more popular option. Furthermore, inferior oblique weakening operations have been reported to improve the superior oblique muscle underaction coexisting with primary inferior oblique muscle overaction.…”

“…6 Various surgical procedures have been described to weaken the ipsilateral inferior oblique muscle, such as inferior oblique myectomy, graded recession, disinsertion, extirpation, marginal myotomy, and, more recently, inferior oblique muscle anterior transposition and their modifications. [4][5][6][7] Among those, inferior oblique myectomy, inferior oblique recession, and inferior oblique anterior transposition appear to be the most popular.…”

“…The efficacy of inferior oblique anterior transposition to correct inferior oblique muscle overaction resulting from long-standing superior oblique muscle palsy has been well documented. [5][6][7][8][9][10][11] Because the majority of patients with unilateral superior oblique palsy present with significant overaction of the ipsilateral inferior oblique muscle, weakening of this muscle becomes the first priority when considering which procedure to use. Anterior transposition may work in part by converting the inferior oblique muscle from an elevator to a depressor of the globe.…”

When is Isolated Inferior Oblique Muscle Surgery an Appropriate Treatment for Superior Oblique Palsy?

“…The surgical techniques to correct superior oblique palsy include anterior transposition (anteriorization), recession, disinsertion, myotomy, myectomy, and denervation-extirpation (5)(6)(7).…”