SURGICAL-TREATMENT OF SUPERIOR OBLIQUE PA LSY

Background Reduction of vertical deviation and ocular torsion are the goals of any surgical treatment of superior oblique palsy. Patients an d methods Our study (n = 70) compares different surgical approaches: R esection (Tuck) of the superior oblique, recession of the inferior obl ique, combined operation on both obliques of the involved side, poster ior fixation of the inferior rectus on the fellow eye, with or without simultaneous tuck of the paretic superior oblique, Harada-Ito procedu re. Reduction of the vertical deviation in different directions of gaz e and reduction of cyclotropia in primary position have been compared for each type of operation.