Abstract • Anterior transposition of the inferior oblique insertion has been described as an effective procedure for weakening the inferior oblique and for decreasing dissociated vertical deviation. It has been postulated that this occurs by converting the inferior oblique muscle from an elevator to a depressor. We found histologic, radiologic, and clinical evidence that anterior transposition of the inferior oblique muscle converts it to a depressor by means of the firm posterior attachment of the inferior oblique muscle at the site of its neurovascular bundle. This new functional insertion at the neurovascular bundle created by the anterior transposition allows for the depressor effect seen after this procedure. References 1. Elliott RL, Nankin SJ. Anterior transposition of the inferior oblique . J Pediatr Ophthalmol Strabismus . 1981;18:35-38. 2. Mims JL III, Wood RC. Bilateral anterior transposition of the inferior obliques . Arch Ophthalmol . 1989;107:41-44.Crossref 3. Bremer DL, Rodgers GL, Quick LD. Primary position hypotropia after anterior transposition of the inferior oblique . Arch Ophthalmol . 1986;104:229-232.Crossref 4. Kratz RE, Rodgers GL, Bremer DL, Leguire LE. Anterior tendon displacement of the inferior oblique for DVD . J Pediatr Ophthalmol Strabismus . 1989;26:212-217. 5. Del Monte MA, Parks MM. Denervation and extirpation of the inferior oblique . Ophthalmology . 1983;90:1178-1183.Crossref
Archives of Ophthalmology – American Medical Association
Published: Mar 1, 1992
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