Antero-medial Transposition of Inferior Oblique for a Superior Oblique Palsy: A Case Report

Syeed Mehbub Ul Kadir, Mamunur Rashid Chowdhury
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Abstract

A 29-year-old female presented with large-angle hypertropia, and small-angle exotropia associated with inferior oblique over action (IOOA).  Orthoptic examination revealed right hypertropia of 35 PD with 12 PD of exotropia by prism cover test. There was no restriction of ocular motility, but we found right inferior oblique over action. She had a head tilt of approximately 30 degrees towards the left side. The Patient underwent "Antero-medial transposition of the inferior oblique" to correct strabismus. After surgery, she was orthotropic in the primary position with an average head-chin posture. Single approach surgery like the antero-medial transposition with an overacting inferior oblique may help to correct the large angle hypertropia associated with superior oblique (SO) palsy.
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下斜肌前内侧转位治疗上斜肌麻痹1例
一位29岁女性,表现为大角度斜视和小角度外斜视合并下斜过动(IOOA)。棱镜盖检查显示右斜视35 PD,外斜视12 PD。眼球运动没有限制,但我们发现右下斜肌过度活动。她的头部向左倾斜了大约30度。患者接受“下斜肌前-内侧移位术”矫正斜视。手术后,患者在主体位为正位,头-下巴平均体位。单一入路手术,如前内侧转位伴过度下斜肌,可能有助于矫正上斜肌麻痹引起的大角度斜视。
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