In:
Journal of Pediatric Ophthalmology & Strabismus, SLACK, Inc., Vol. 35, No. 1 ( 1998-01), p. 33-37
Abstract:
ABSTRACT Purpose: To report the results of treatment of a series of patients with superior oblique overaction using the superior oblique silicone tendon-expander technique. Methods: A chart review of 17 patients with superior oblique overaction who had a total of 26 silicone tendonexpander procedures was conducted. Results: Mean preoperative degree of superior oblique overaction was +2.7. 92% of eyes had mild (+1) or no residual overaction at last postoperative assessment (follow-up range: 6 to 59 months). Of 15 patients with preoperative ?-pattern of 10 prism diopter (A) or more, only two patients (1 3%) had ?-pattern of 1 0 ? or more at last assessment. Of 13 patients with preoperative hypotropia in primary position, five patients (38%) had no vertical deviation in primary position, and seven patients (54%) had persistent, but less vertical deviation in primary position at last assessment (mean reduced from 11Δ to 4Δ). No patient manifested superior oblique palsy at their last postoperative assessment. Conclusions: We believe that the superior oblique tendon-expander technique should be strongly considered for the treatment of superior oblique overaction associated with ?-pattern or hypotropia In primary position, because it has a high success rate and a low incidence of postoperative complications. Consecutive superior oblique underaction did not occur In this series.
Type of Medium:
Online Resource
ISSN:
0191-3913
,
1938-2405
DOI:
10.3928/0191-3913-19980101-11
Language:
English
Publisher:
SLACK, Inc.
Publication Date:
1998
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