title: [Management of the A-pattern deviation with overacting superior oblique muscle].
abstract: The overacting superior oblique muscle is usually associated with A-pattern ocular deviation. 10 such cases (14 eyes), 9 exotropic and 1 esotropic, were performed superior oblique tenotomy with horizontal and vertical corrective surgery; they all attained postoperative normal ocular alignment in the primary position. The A-pattern deviation was corrected and overaction of the superior oblique improved. The authors point out that in the absence of binocular vision and abnormal retinal correspondence, superior oblique tenotomy is a safe and useful procedure for patients with 20 delta and over of A-pattern deviation.
authors.affiliation: Department of Ophthalmology, Fourth Affiliated Hospital, Heibei Medical College, Shijiazhuang.
authors.forename: N F
authors.initials: NF
authors.lastname: Yuan
authors.forename: Y Z
authors.initials: YZ
authors.lastname: Zhou
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D013285:Strabismus / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods