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| + | ====== Surgery for Bilateral Superior Oblique Palsy ====== | ||
| + | ^Class^HT^V^IOOA^SOUA^Torsion^DMR^AHP^Treatment^ | ||
| + | |1|No|22|> | ||
| + | |2|No|16|0 to +1|> -2|Yes|13°|Chin down|BSOt or Harada-Ito| | ||
| + | |3|No|40|> | ||
| + | |4a|Yes|21|> | ||
| + | |4b|Yes|20|+1 to +2|> -2 asym|Yes|12°|Tilt|BSOt or Harada-Ito & IRc or SRc ± BIOc| | ||
| + | |4c|Yes|22|> | ||
| + | |5 ★|Yes|10|> | ||
| + | |||
| + | HT: Hypertropia in primary gaze\\ | ||
| + | V: mean amount of V pattern present in upgaze/ | ||
| + | IOOA: Inferior oblique over action\\ | ||
| + | SOUA: Superior oblique under action\\ | ||
| + | Torsion: Subjective torsion\\ | ||
| + | DMR: Average torsion on Double Maddox Rod test\\ | ||
| + | AHP: Abnormal head position\\ | ||
| + | Treatment: Suggested treatment\\ | ||
| + | BIOc: Bilateral Inferior Oblique recessions or other weakening procedure\\ | ||
| + | BSO Tuck: Bilateral Superior Oblique Tuck\\ | ||
| + | IRc: Inferior rectus recession\\ | ||
| + | SRc: Superior rectus recession\\ | ||
| + | Asym: Asymmetrical under or over action\\ | ||
| + | Bilat: Bilateral\\ | ||
| + | Unlat: Unilateral\\ | ||
| + | SOP: Superior Oblique Palsy\\ | ||
| + | |||
| + | ∗ For class 3 patients: consider Bilateral Medial Rectus Recessions for Esodeviation >8 diopters\\ | ||
| + | ★ Masked Bilateral Superior Oblique Palsy (9-16% of all Bilateral Superior Oblique palsies)\\ | ||
| + | \\ | ||
| + | Based on Scott WE, Kraft SP. // | ||
| + | |||
| + | {{tag> | ||