title: New surgical intervention for the weakening of the inferior oblique muscle: equatorial scleral anchor.
abstract: OBJECTIVE
  To evaluate the efficacy of a new surgical technique in reducing inferior oblique muscle overaction.
  
  
  METHODS
  Anterior transposition and myectomy of the inferior oblique muscle represent the gold-standard treatment in dissociated vertical deviation, including cases in which a simultaneous inferior oblique muscle overaction is also present. A new surgical procedure that consists of suturing the muscle to the sclera at the Gobin point with tendon sparing using a micro-incision to minimize the related tissue trauma and induce a faster recovery was developed.
  
  
  RESULTS
  Two of 8 patients with essential infant esotropia had a complete resolution of the elevation in adduction with no residual vertical imbalance. All patients experienced an improvement in lateral incomitance.
  
  
  CONCLUSIONS
  The new "equatorial scleral anchor" surgical procedure gives a similarly good outcome when compared with the classic inferior oblique anterior transposition technique, with the advantages being simple, safe, reversible, and modular in terms of suturing.
authors: Salvatore
authors: S
authors: Tomarchio
authors: Lelio
authors: L
authors: Sabetti
authors: Mario
authors: M
authors: Tomarchio
authors: Antonio
authors: A
authors: Berarducci
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D004948:Esotropia / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D012029:Refraction, Ocular / Q000502:physiology; D012590:Sclera / Q000601:surgery*; D013524:Surgical Flaps; D013536:Suture Techniques; D015348:Vision, Binocular / Q000502:physiology