title: Measurement of ocular torsion variation following superior oblique tenectomy.
abstract: OBJECTIVE
  To objectively evaluate the torsional effect of the superior oblique muscle-weakening surgery using the tenectomy technique proposed by Souza-Dias.
  
  
  METHODS
  The present prospective study included 10 patients (20 eyes) with horizontal strabismus, bilateral superior oblique overaction and A-pattern of 15 to 30 prism diopters who underwent superior oblique tenectomy. Objective assessment of ocular torsion was performed by retinography immediately before and one month after surgery. The amount of ocular torsion was determined by measuring the angle formed by a horizontal line drawn across the geometric center of the optic disc and a second line connecting this point to the fovea.
  
  
  RESULTS
  The median preoperative angle was 5.56° in the right eyes and -3.43° in the left eyes. The median postoperative angle was 1.84° in the right eyes and -3.12° in the left eyes. The angle variation was statistically significant in both eyes (p=0.012 and p=0.01, respectively).
  
  
  CONCLUSIONS
  The present study suggests that superior oblique tenectomy has an extorter effect, decreasing the intorsion detected on overaction of this muscle.
authors: Strabismus Section, Department of Ophthalmology, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
authors: Bruna Lana
authors: BL
authors: Ducca
authors: Ophthalmology Department, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
authors: Carlos Ramos de
authors: CR
authors: Souza-Dias
authors: Uveitis Section, Department of Ophthalmology, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
authors: Aline Cristina Fioravanti
authors: AC
authors: Lui
authors: Strabismus Section, Department of Ophthalmology, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
authors: Mauro
authors: M
authors: Goldchmit
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D005584:Fovea Centralis / Q000503:physiopathology; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D009898:Optic Disk / Q000503:physiopathology / Q000601:surgery; D011184:Postoperative Period; D057234:Preoperative Period; D011446:Prospective Studies; D012016:Reference Values; D018709:Statistics, Nonparametric; D013285:Strabismus / Q000503:physiopathology / Q000601:surgery; D013710:Tendons / Q000601:surgery; D014102:Torsion Abnormality / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D055815:Young Adult