BIOMAT Database Logo BIOMAT Database Logo

Outcome of surgery for superior oblique palsy with contracture of ipsilateral superior rectus treated by superior rectus recession. 1998

A J Aseff, and M Munoz
Bascom Palmer Eye Institute, Ann Bates Leach Eye Hospital, Miami, Florida, USA.

OBJECTIVE To report our experience with this special subgroup of patients with superior oblique palsy. METHODS All six patients seen since 1990 which the senior author treated who had a unilateral superior oblique palsy accompanied by ipsilateral superior rectus muscle contracture. Surgical management included superior rectus recession along with treatment of the superior oblique palsy by one of several appropriate procedures. RESULTS Five out of six had an "excellent" surgical outcome defined as no diplopia in primary and reading position, elimination of their abnormal head posture and normalization of versions postoperatively. The sixth patient continued to have a small intermittent vertical deviation, but was functionally satisfactory. CONCLUSIONS This subset of individuals with superior oblique palsy and ipsilateral rectus contracture can be improved with weakening of the ipsilateral superior rectus as part of the surgical plan.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009801 Oculomotor Muscles The muscles that move the eye. Included in this group are the medial rectus, lateral rectus, superior rectus, inferior rectus, inferior oblique, superior oblique, musculus orbitalis, and levator palpebrae superioris. Extraocular Muscles,Extraocular Rectus Muscles,Inferior Oblique Extraocular Muscle,Inferior Oblique Muscles,Levator Palpebrae Superioris,Musculus Orbitalis,Oblique Extraocular Muscles,Oblique Muscle, Inferior,Oblique Muscle, Superior,Oblique Muscles, Extraocular,Rectus Muscles, Extraocular,Superior Oblique Extraocular Muscle,Superior Oblique Muscle,Extraocular Muscle,Extraocular Muscle, Oblique,Extraocular Muscles, Oblique,Extraocular Oblique Muscle,Extraocular Oblique Muscles,Extraocular Rectus Muscle,Inferior Oblique Muscle,Muscle, Oculomotor,Muscles, Oculomotor,Oblique Extraocular Muscle,Oblique Muscle, Extraocular,Oblique Muscles, Inferior,Oblique Muscles, Superior,Oculomotor Muscle,Rectus Muscle, Extraocular,Superior Oblique Muscles
D009886 Ophthalmoplegia Paralysis of one or more of the ocular muscles due to disorders of the eye muscles, neuromuscular junction, supporting soft tissue, tendons, or innervation to the muscles. Oculomotor Paralysis,External Ophthalmoplegia,Internal Ophthalmoplegia,Ophthalmoparesis,External Ophthalmoplegias,Internal Ophthalmoplegias,Ophthalmopareses,Ophthalmoplegia, External,Ophthalmoplegia, Internal,Ophthalmoplegias,Ophthalmoplegias, External,Ophthalmoplegias, Internal,Paralysis, Oculomotor
D011187 Posture The position or physical attitude of the body. Postures
D003286 Contracture Prolonged shortening of the muscle or other soft tissue around a joint, preventing movement of the joint. Contractures
D005133 Eye Movements Voluntary or reflex-controlled movements of the eye. Eye Movement,Movement, Eye,Movements, Eye
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

A J Aseff, and M Munoz
The efficacy of superior rectus recession with simultaneous inferior oblique disinsertion on superior oblique palsy with superior rectus contracture.
March 2019, Strabismus,
A J Aseff, and M Munoz
Double elevator weakening for unilateral congenital superior oblique palsy with ipsilateral superior rectus contracture and lax superior oblique tendon.
June 2012, Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus,
A J Aseff, and M Munoz
Combined superior oblique tuck and adjustable suture recession of the ipsilateral superior rectus for long-standing superior oblique palsy.
June 2003, Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus,
A J Aseff, and M Munoz
Outcome of inferior oblique recession with or without vertical rectus recession for unilateral superior oblique paresis.
January 2001, Binocular vision & strabismus quarterly,
A J Aseff, and M Munoz
Inferior oblique recession associated to partial temporal inferior rectus recession in unilateral congenital superior oblique palsy.
January 2022, European journal of ophthalmology,
A J Aseff, and M Munoz
Superior rectus muscle recession for residual head tilt after inferior oblique muscle weakening in superior oblique palsy.
August 2012, Korean journal of ophthalmology : KJO,
A J Aseff, and M Munoz
Superior Oblique Palsy: Efficacy of Isolated Inferior Oblique Recession in Cases with Ipsilateral Hypertropia in Abduction.
January 2019, Journal of binocular vision and ocular motility,
A J Aseff, and M Munoz
Predictive factors for corrective effect of inferior rectus recession for congenital superior oblique palsy.
February 2018, Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie,
A J Aseff, and M Munoz
Treatment of Knapp Class V superior oblique palsy with contralateral inferior rectus muscle recession.
June 2009, Canadian journal of ophthalmology. Journal canadien d'ophtalmologie,
A J Aseff, and M Munoz
Contemplation of the surgical normogram of lateral rectus recession for exotropia associated with superior oblique palsy.
June 2012, Korean journal of ophthalmology : KJO,
Copied contents to your clipboard!