Inferior Oblique Weakening Is the First Option

In this presentation from Pediatric Subspecialty Day 2016, Dr. David Stager, Jr., argues that, in some cases, when deciding between superior oblique tuck or inferior oblique weakening, it is often better to choose inferior oblique weakening because it is more predictable, offers more graded weakening options, is technically easier, and has a greater long-term effect than tucking the superior oblique muscle. It is also a more logical choice because it frequently treats the underlying mechanism of the motility disorder.