2 Cases of Traumatic Inferior Oblique Palsy.
- Author:
Jooyong LEE
1
;
Hyun Taek LIM
;
Hyo Sook AHN
Author Information
1. Department of Ophthalmology, University of Ulsan, Asan Medical Center, Korea.
- Publication Type:Case Report
- Keywords:
Traumatic inferior obligue palsy;
Vertical diploia;
Stoabismus surgerg
- MeSH:
Adult;
Craniocerebral Trauma;
Diplopia;
Head;
Humans;
Paralysis*;
Posture;
Strabismus;
Suture Techniques;
Tenotomy
- From:Journal of the Korean Ophthalmological Society
2002;43(7):1349-1354
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Inferior oblique palsy is the least commonly isolated extraocular muscle palsy. We describe the clinical features and managements of 2 cases of traumatic inferior oblique palsy. METHODS: Two adult patients were presented with vertical diplopia and head tilt posture after head trauma. The subjects fulfilled the three-step test criteria, with a hypertropia that worsened on side gaze and head tilt away from the affected eye. They showed free forced duction to elevation in adduction. Both were treated by ipsilateral superior oblique tenotomy and contralateral superior rectus recession with adjustable suture technique. RESULTS: During postoperative 7 month observation, both patients demonstrated orthophoria in primary gaze. Our surgical procedures eliminated the diplopia and abnormal head tilt posture, thereby achieving satisfactory results.
