Korean J Ophthalmol.  2016 Dec;30(6):485-486. 10.3341/kjo.2016.30.6.485.

Antielevation Syndrome after Bilateral Anterior Transposition of the Inferior Oblique Muscles

• Kim JT
• Yum HR

• KMID: 2374009
• DOI: http://doi.org/10.3341/kjo.2016.30.6.485

Abstract

No abstract available.

MeSH Terms

Child
Eye Movements/*physiology
Humans
Male
Oculomotor Muscles/physiopathology/*surgery
Ophthalmologic Surgical Procedures/*methods
Strabismus/physiopathology/*surgery
Syndrome

Figure

• 

  Fig. 1 (A) Preoperative clinical photographs. Ocular motility examination showed limitation in elevation, higher on the abduction than adduction of both eyes. (B) Preoperative fundus photographs. The photos showed severe excyclotorsion of both eyes. (C) Clinical photographs 3 months after extirpation of the both inferior oblique muscles and bilateral lateral rectus muscle recession. Ocular motility examination showed improvement of elevation in abduction position of both eyes. (D) Fundus photographs 3 months postoperatively, the excyclotorsion of both eyes had improved.

Reference

1. Scott AB. Planning inferior oblique muscle surgery. In : Reinecke RD, editor. Strabismus. New York: Grune and Stratton;1978. p. 347–354.

2. Kushner BJ. Torsion as a contributing cause of the anti-elevation syndrome. J AAPOS. 2001; 5:172–177.

3. Kushner BJ. Restriction of elevation in abduction after inferior oblique anteriorization. J AAPOS. 1997; 1:55–62.

4. Mims JL 3rd, Wood RC. Antielevation syndrome after bilateral anterior transposition of the inferior oblique muscles: incidence and prevention. J AAPOS. 1999; 3:333–336.

5. Han J, Han SY, Lee JB, Han SH. Surgical management of long-standing antielevation syndrome after unilateral anterior transposition of the inferior oblique muscle. J AAPOS. 2014; 18:232–234.