Primary inferior oblique overaction-management by inferior oblique recession.

• Main Authors: Kamlesh, Dadeya Subhash, Kohli Vandana, Fatima Shibal
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2002-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Inferior oblique recession; V pattern; horizontal deviation
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2002;volume=50;issue=2;spage=97;epage=101;aulast=Dadeya
• ISSN: 0301-4738

PURPOSE: To evaluate the effect of 10 mm inferior oblique recession in horizontal strabismus with V pattern and primary inferior oblique overaction. METHODS: Ten patients of V esotropia and exotropia with primary inferior oblique overaction underwent 10 mm inferior oblique recession by the methods described by Park and Stallard. Pre- and postoperative V pattern, inferior oblique overaction and binocularity were assessed. Patients were followed up for 3 months. RESULTS: The mean preoperative V pattern was 38.3 PD and the mean inferior oblique overaction was 22 PD. After surgery the mean correction of the V pattern was 26.9 PD and the mean residual V pattern was 11.4 PD. None of the patients had inferior oblique overaction postoperatively. 70% of the patients showed improvement in binocularity. CONCLUSION: 10 mm Inferior oblique recession by the described technique is a simple, safe and effective method for the cosmetic and functional treatment of horizontal deviation and V pattern with primary inferior oblique overaction.