The authors report a series of 14 patients with unilateral superior oblique (SO) palsy having unilateral SO tendon advancement with or without other vertical muscle surgery. This was a retrospective study with mean age of patients of 16.7 years and follow-up of 5-12 months. The preoperative hypertropia measured 6.25 ±2.12PD reducing to 0.86 ±1.46PD at follow-up. The abnormal head posture improved in all cases. One patient developed a temporary Brown’s syndrome which resolved within two weeks. The authors conclude this is a useful procedure in selected patients with SO palsy.
SO tendon advancement for SO palsy
Reviewed by Fiona Rowe
Superior oblique tendon advancement: its success as single or combined muscle treatment for selected cases of unilateral superior oblique palsy.
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
View Full Profile