J Korean Ophthalmol Soc.
1987 Jun;28(3):703-707.
A Case of Superior Oblique Palsy after Superior Oblique Tenotomy in Inferior Oblique Paresis
- Affiliations
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- 1Department of Ophthalmology, Korea University, College of Medicine, Seoul, Korea.
Abstract
- Following both tenotomy and tenectomy of the homolateral superior oblique muscle as surgical tnatment for isolated paresis of inferior oblique muscle, iatrogenic progressing paralysis of the superior oblique muscle can occur. But tenotomy of the superior oblique muscle resulted in a far lower rate of superior oblique palsy than that of the tenectomy. The authors experienced a case of left superior oblique muscle(LSO) palsy and moderate limitation of left eye in left down gaze after superior oblique tenotomy in left inferior oblique(LIO) paresis and we performed adhesiolysis at tenotomy site and modified Harada-Ito procedure on reconnected superior oblique muscle which had been tenotomized. After surgery, right head tilting disappeared and diplopia remained in left down gaze with minimal limitation of left eye in that direction.
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