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Surgical management of long-standing antielevation syndrome after unilateral anterior transposition of the inferior oblique muscle.

Authors
 Jinu Han  ;  So Young Han  ;  Jong Bok Lee  ;  Sueng-Han Han 
Citation
 JOURNAL OF AAPOS, Vol.18(3) : 232-234, 2014 
Journal Title
 JOURNAL OF AAPOS 
ISSN
 1091-8531 
Issue Date
2014
MeSH
Adolescent ; Eye Movements/physiology ; Female ; Humans ; Male ; Muscle Denervation/methods* ; Oculomotor Muscles/innervation* ; Oculomotor Muscles/transplantation* ; Ophthalmologic Surgical Procedures* ; Retrospective Studies ; Strabismus/physiopathology ; Strabismus/surgery* ; Vision, Binocular/physiology
Abstract
PURPOSE: To investigate surgical management of patients with long-standing antielevation syndrome following unilateral anterior transposition of inferior oblique muscle. METHODS: We present a series of 3 consecutive patients with significant hypotropia several years after unilateral anterior transposition surgery. An approach combining denervation-extirpation of the inferior oblique muscle and subsequent inferior rectus muscle recession and contralateral superior rectus muscle recession was used to manage all 3 patients. RESULTS: Denervation-extirpation surgery alone or with ipsilateral inferior rectus muscle recession were not enough to improve vertical misalignment in these patients. All 3 patients achieved successful results after denervation-extirpation surgery, ipsilateral inferior rectus muscle recession, and contralateral superior rectus muscle recession. CONCLUSIONS: In this case series, devervation-extirpation surgery on the inferior oblique muscle, ipsilateral inferior rectus recession, and contralateral superior rectus recession improved vertical misalignment in patients with long-standing antielevation syndrome after unilateral anterior transposition of the inferior oblique.
Full Text
http://www.sciencedirect.com/science/article/pii/S109185311400007X
DOI
10.1016/j.jaapos.2013.12.002
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jong Bok(이종복)
Han, So Young(한소영)
Han, Seung Han(한승한) ORCID logo https://orcid.org/0000-0001-8972-4790
Han, Jinu(한진우) ORCID logo https://orcid.org/0000-0002-8607-6625
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/98998
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