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Primary-Position Hypotropia After Anterior Transposition of the Inferior Oblique

Primary-Position Hypotropia After Anterior Transposition of the Inferior Oblique Abstract • Three patients with fourth cranial nerve palsy underwent a recession of the ipsilateral inferior oblique muscle. In all three cases, the inferior oblique muscle was anteriorly displaced to the temporal border of the inferior rectus muscle. In the immediate postoperative period, all three patients developed a hypotropia and diplopia in the primary position with limitation of upgaze. The hypotropia remained stable and required retrodisplacement of the inferior oblique muscle in order to eliminate the diplopia. We emphasize the power of the anterior transposition of the inferior oblique muscle and caution its use as a unilateral procedure in patients with central fusion. References 1. Parks MM: The overacting inferior oblique muscle . Am J Ophthalmol 1974;77:787-797. 2. Elliott RL, Nankin ST: Anterior transposition of the inferior oblique . JPediatr Ophthalmol Strabismus 1981;18:35-38. 3. Del Monte MA, Parks MM: Denervation and extirpation of the inferior oblique . Ophthalmology 1983;90:1178-1183.Crossref 4. Apt L: Inferior oblique muscle recession . Am J Ophthalmol 1978;85:95-100. 5. Scott AB: Planning Inferior Oblique Muscle Surgery: Third International Strabismus Symposium . New York, Grune & Stratton, 1978, pp 347-354. 6. Parks MM: Isolated cyclovertical muscle palsy . Arch Ophthalmol 1958;60:1027-1035.Crossref 7. Scott AB, in discussion, Bremer DL: Primary-position hypotropia following anterior transposition of the inferior oblique muscle. Read in part before the meeting of the American Pediatric Ophthalmology and Strabismus Association, Vancouver, British Columbia, Aug 6, 1983. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Primary-Position Hypotropia After Anterior Transposition of the Inferior Oblique

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References (10)

Publisher
American Medical Association
Copyright
Copyright © 1986 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1986.01050140083025
Publisher site
See Article on Publisher Site

Abstract

Abstract • Three patients with fourth cranial nerve palsy underwent a recession of the ipsilateral inferior oblique muscle. In all three cases, the inferior oblique muscle was anteriorly displaced to the temporal border of the inferior rectus muscle. In the immediate postoperative period, all three patients developed a hypotropia and diplopia in the primary position with limitation of upgaze. The hypotropia remained stable and required retrodisplacement of the inferior oblique muscle in order to eliminate the diplopia. We emphasize the power of the anterior transposition of the inferior oblique muscle and caution its use as a unilateral procedure in patients with central fusion. References 1. Parks MM: The overacting inferior oblique muscle . Am J Ophthalmol 1974;77:787-797. 2. Elliott RL, Nankin ST: Anterior transposition of the inferior oblique . JPediatr Ophthalmol Strabismus 1981;18:35-38. 3. Del Monte MA, Parks MM: Denervation and extirpation of the inferior oblique . Ophthalmology 1983;90:1178-1183.Crossref 4. Apt L: Inferior oblique muscle recession . Am J Ophthalmol 1978;85:95-100. 5. Scott AB: Planning Inferior Oblique Muscle Surgery: Third International Strabismus Symposium . New York, Grune & Stratton, 1978, pp 347-354. 6. Parks MM: Isolated cyclovertical muscle palsy . Arch Ophthalmol 1958;60:1027-1035.Crossref 7. Scott AB, in discussion, Bremer DL: Primary-position hypotropia following anterior transposition of the inferior oblique muscle. Read in part before the meeting of the American Pediatric Ophthalmology and Strabismus Association, Vancouver, British Columbia, Aug 6, 1983.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Feb 1, 1986

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