Inferior oblique myectomy for postoperative limitation of elevation in abduction.
J AAPOS
; 28(1): 103828, 2024 02.
Article
in En
| MEDLINE
| ID: mdl-38272176
ABSTRACT
Antielevation syndrome is commonly described following anteriorization of the inferior oblique muscle. A similar phenomenon may occur following inferior oblique muscle recession, creating a distinct strabismus pattern in the setting of cranial trochlear nerve palsy. We report 3 adult patients, 69-72 years of age, who presented at the Stanford Byers Eye Institute with a similar strabismus pattern-limited elevation in abduction following previous inferior oblique muscle recession for congenital/long-standing trochlear nerve palsy. All 3 patients had a small hypertropia in primary gaze with ipsilateral inferior oblique overaction, limited elevation in abduction, and inferotemporal conjunctival scars. Two patients had a V-pattern strabismus. Following myectomy of the previously recessed inferior oblique muscle, elevation in abduction improved, and symptoms resolved in all 3 patients.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Ocular Motility Disorders
/
Strabismus
/
Trochlear Nerve Diseases
Limits:
Adult
/
Humans
Language:
En
Journal:
J AAPOS
Journal subject:
OFTALMOLOGIA
/
PEDIATRIA
Year:
2024
Document type:
Article
Country of publication: