The results one month after surgery in 159 cases of superior oblique p
alsy were compared according to the method of surgery with the results
4 years or longer after surgery. There were 141 cases of congenital p
alsy and 18 cases of acquired palsy, for a total of 159 cases. Our stu
dy showed that surgery on the oblique muscle provided long-lasting eff
ects, while recession of the superior rectus muscle or recession of th
e contralateral inferior rectus muscle could cause late overcorrection
. When performing surgery on the rectus muscle, careful attention must
be paid to suturing the muscle.