Two Cases of Correction of Excyclotorsion Remained after Harada-Ito Procedure.
- Author:
Byung Moo MIN
1
;
Si Hwan CHOI
;
Yong Baek KIM
;
Moon Byung CHA
Author Information
1. Department of Ophthalmology, College of Medicine, Chungnam National University, Taejon, Korea.
- Publication Type:Case Report
- Keywords:
Excyclotorsion;
Harada-Ito procedure;
Horizontal transposition;
Vertical rectus muscle;
Superior oblique palsy
- MeSH:
Head;
Humans;
Muscles;
Paralysis;
Tendons
- From:Journal of the Korean Ophthalmological Society
1997;38(1):172-176
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Authors performed horizontal transposition of superior and inferior rectus muscle in 3.0 mm, to eliminate excyclotorsion of the 5 degrees which remained after Harada-Ito procedure in two patients with superior oblique palsy. The medial and lateral edges of the proximal part of tendon were reattached at the temporally and the inferior retus nasally. This operation was performed 3 or 4 months ater Harada-Ito procedure in 2 patients, respectively. The amount of horizontal transposition was made according the degree of excyclotorsion measured by double maddox rod test. The results showed no cyclotorsion at head tilt to the right and double maddox rod test. In conclusion, the horizontal transposition of vertical rectus muscles is effective in the elimination of excyclotorsion remained after Harada-Ito procedure for superior oblique palsy.
