Temporary incyclotorsion following surgical correction of bilateral superior oblique palsy.
We report three patients with acquired bilateral superior oblique paresis who had bilateral modified Harada-Ito procedures, which resulted in significant incyclotorsion (ranging from 6 degrees to 19 degrees ) on the first day postoperatively. For Case 1 this was the only procedure, while Cases 2 and 3 also underwent simultaneous bilateral inferior oblique weakening. This overcorrection decreased spontaneously over the following 8 months to leave all patients asymptomatic. One patient returned 8 years following the initial surgery with symptoms of diplopia and recurrence of excyclotorsion.
Griffiths
Helen J
HJ
Academic Unit of Ophthalmology and Orthoptics, Royal Hallamshire Hospital, University of Sheffield, Glossop Road, Sheffield, United Kingdom. h.griffiths@sheffield.ac.uk
Burke
John P
JP
D000293:Adolescent; D000328:Adult; D004172:Diplopia / Q000209:etiology* / Q000601:surgery; D005133:Eye Movements / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000294:innervation / Q000503:physiopathology / Q000601:surgery*; D009886:Ophthalmoplegia / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D011183:Postoperative Complications; D013536:Suture Techniques; D014102:Torsion Abnormality; D020432:Trochlear Nerve Diseases / Q000150:complications / Q000503:physiopathology / Q000601:surgery*