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    By David R. Stager Jr., MD; David R. Stager Sr., MD
    Pediatric Ophth/Strabismus

    Purpose Recurrent inferior oblique overaction following recession or anteriorization is a well known occurrence. Methods Patients with inferior oblique overaction underwent removal of the nasal section of the muscle. Results Patients demonstrated dramatic improvement in their alignment following surgery. Conclusion Nasal myectomy of the inferior oblique muscle is an effective secondary weakening procedure.