Surgical management of long-standing antielevation syndrome after unilateral anterior transposition of the inferior oblique muscle

详细信息    查看全文

• 作者：Jinu Han ; MD ; So Young Han ; MD ; Jong Bok Lee ; MD ; Sueng-Han Han ; MD ; ^{shhan222@yuhs.ac" class="auth_mail}
• 刊名：Journal of American Association for Pediatric Ophthalmology and Strabismus
• 出版年：June 2014
• 年：2014
• 卷：18
• 期：3
• 页码：232-234
• 全文大小：446 K

文摘

To investigate surgical management of patients with long-standing antielevation syndrome following unilateral anterior transposition of inferior oblique muscle.

Methods

We present a series of 3 consecutive patients with significant hypotropia several years after unilateral anterior transposition surgery. An approach combining denervation-extirpation of the inferior oblique muscle and subsequent inferior rectus muscle recession and contralateral superior rectus muscle recession was used to manage all 3 patients.

Results

Denervation-extirpation surgery alone or with ipsilateral inferior rectus muscle recession were not enough to improve vertical misalignment in these patients. All 3 patients achieved successful results after denervation-extirpation surgery, ipsilateral inferior rectus muscle recession, and contralateral superior rectus muscle recession.

Conclusions

In this case series, devervation-extirpation surgery on the inferior oblique muscle, ipsilateral inferior rectus recession, and contralateral superior rectus recession improved vertical misalignment in patients with long-standing antielevation syndrome after unilateral anterior transposition of the inferior oblique.