Procedures to Enhance Excyclotorsion
Oblique Surgery
Superior Oblique Tenotomy
weakens incyclotorsion effects of the superior oblique muscle
also treats vertical deviations and causes esoshift shift in down-gaze
Superior Oblique Tenotomy: Indications and Complications. Scott, Jampolsky and Redmond
Surgery of the Superior Oblique Scott and Kraft
Inferior Oblique Anterior lateral transposition
Advance insertion above superior border of lateral rectus
Del Monte, MA, Scobee Memorial Lecture 2001, American Orthoptic Journal 2002;52:40-57
Vertical Rectus Surgery
Superior Rectus- tertiary action is incyclotorsion
Nasal Transposition
Recession
Effect will be small unless the muscle is tight (i.e. Graves disease)
Inferior Rectus
Inferior Rectus Temporal Tranposition
Resection: Small effect
strabismus surgery