Purpose: To report the outcome of recession of inferior oblique muscle for decompensated congenital superior oblique palsy in adults. Cases and Method: The present series comprised 13 males and 11 females. Their age ranged from 16 to 82 years, average 48 years. Each case received, as initial surgery, recession of ipsilateral inferior oblique muscle by 10 mm. The outcome of surgery was evaluated by retrospective analysis of data regarding eye position and motility. Results: There was no case of overcorrection in the present series. The current surgical procedure was effective in improving the primary position, eye position during adduction, and vertical deviation during head tilting towards the affected side. Improvement of vertical deviation during head tilting towards the affected side was not better than that of primary eye position. The surgery did not necessariy result in binocular single vision in the distance. Conclusion: Recession of inferior oblique muscle is effective for decompensated congenital superior oblique palsy in adults with certain limitations.
|Number of pages||6|
|Journal||Japanese Journal of Clinical Ophthalmology|
|Publication status||Published - 2007|
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