J Korean Ophthalmol Soc.  2013 Apr;54(4):627-631. 10.3341/jkos.2013.54.4.627.

Clinical Features and Natural Course of Superior Oblique Palsy

• Hyun J
• Kim SY

• KMID: 2216944
• DOI: http://doi.org/10.3341/jkos.2013.54.4.627

Abstract

PURPOSE
To evaluate the natural course of superior oblique palsy (SOP) with objective criteria, and to show the contemporary etiology and recovery rates among several factors. The clinical features of SOP were compared to previous studies.
METHODS
A retrospective chart review of 80 patients diagnosed with SOP between January 1, 2006 and December 31, 2011 was performed.
RESULTS
Clinical SOP features showed variation when compared to previous studies. Out of 80 patients, 71 were identified with unilateral isolated and 9 bilateral cases of SOP. Twenty cases were congenital and 60 cases were acquired SOPs. Acquired SOPs were affected most commonly by trauma (31%) and vascular disease (30%). Twenty-four out of 49 patients, who were followed up over 2 months after the first visit recovered, especially vascular origin cases, which was statistically significant (75%, p = 0.000). Patients with initial vertical deviation smaller than 5 Prism diopters (PD) experienced a more successful recovery than patients with an initial deviation larger than 5 PD.
CONCLUSIONS
SOP has different recovery rates depending on the etiology. Accurate ocular examination and understanding of SOP etiology are necessary for successful treatment.

Keyword

Etiology; Natural history; Paralytic strabismus; Superior oblique palsy; Trochlear nerve palsy

MeSH Terms

Humans
Natural History
Paralysis
Retrospective Studies
Trochlear Nerve Diseases
Vascular Diseases

Reference

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