Surgical implications of the superior oblique frenulum

Miscellaneous Disorders of Ocular Movement

“…(1) Performing a superior rectus recession greater than 10 mm (Jampolsky 1986;Iizuka and Kushner 2008). …”

Surgical Management

“…(1) When performing a superior rectus recession greater than 10 mm (Jampolsky 1986;Iizuka and Kushner 2008). …”

“…Failure to take into consideration the frenulum (Iizuka and Kushner 2008) when operating on the superior rectus and superior oblique and following retinal detachment repair has been implicated in the superior oblique tendon inclusion syndrome, the features of which are vertical and cyclodeviational strabismus and restriction of down-gaze (Kushner 2007). See Chapter 25 for further details on the inclusion syndromes.…”