MAR 21, 2019
Pediatric Ophthalmology Subspecialty Day 2018
The surgery of choice for a patient with decompensated unilateral superior oblique palsy and medium hypertropia (10-20 PD) in primary position is controversial. Nash et al. reported no clear advantage of 2-muscle surgery over 1-muscle surgery for motor outcomes, with success of diplopia correction being similar between the 2 groups. Rah and Kim recently reported success on effect of isolated inferior oblique (IO) muscle recession for superior oblique palsy. Hence, with IO-weakening surgery alone, IO recession or an IO graded anteriorization would be the procedure of choice.