====== Surgery for Unilateral Superior Oblique Palsy ======

==== Illustrated for Right SOP ====

^Class^R. Hyper^R.Gaze^SOUA^IOOA^Treatment^
|1|<15|None|0 to -1|+2 to +3|RIOc|
|2|<15|None|-1 to-2|+3 to +4|RIOc or RIOmx|
|3a|<15|None|-2 to -4|0 to +1|LIRc|
|3b|<15|As 3 a but with significant torsion |||RSOt or Harada-Ito + LIRc|
|4|>15|Significant|0 to -2|+3 to +4|RIOc or RIOmx + RSRc|
|5|>15|Significant|-2 to-3|0 to +2|RIOc + LIRc|
|6|>30|Significant >15|-2 to -3|+3 to +4|RIOc + LSRs & LIRc|
|7a|<15|With spread of commitance|||RSRc|
|7b|>15|With spread of commitance|||RSRc + RIRs or LIRc|
|8|<20|Fallen eye syndrome|||LIRc|

SOP: Superior Oblique Palsy\\
Sig: significant\\
SOUA: Superior oblique underaction\\
IOOA: Inferior oblique overaction\\
Treatment: Suggested treatment\\
RIOc: Right Inferior Oblique recessions or other weakening procedure\\
RSOt: Right Superior Oblique Tuck\\
LIRc: Left Inferior rectus recession\\
LSRc: Left Superior rectus recession\\
RSRc: Right Superior rectus recession\\
RIRs: Right Inferior rectus resection\\
RIOmx:  Right Inferior Oblique Myectomy\\
Based on Scott WE, Kraft SP. //Classification and Treatment of Superior Oblique Palsies:I. Unilateral Superior Oblique Palsies.// Transactions of the New Orleans Academy of Ophthalmology. 1986: 15-38.\\

{{tag>Strabismus_Surgery}}