title: Infrequent Complications of Inferior Oblique Recession Surgery.
abstract: OBJECTIVE
  To report the infrequent complications, including antielevation and adherence syndrome, after a unilateral and bilateral inferior oblique (IO) recession procedure and to discuss the possible causes.
  
  
  METHODS
  A retrospective chart review was conducted for patients on whom unilateral or bilateral IO weakening surgeries were performed.
  
  
  RESULTS
  Forty-three patients were included in the study. In 23 patients unilateral and in 20 patients bilateral IO weakening was performed. All patients underwent IO recession surgery. Mild limitation of elevation developed in two patients and adherence syndrome developed in one patient. All occurred after unilateral IO recession. No duction deficiency was observed in patients after bilateral IO recession.
  
  
  CONCLUSIONS
  Antielevation and adherence syndrome can develop after unilateral IO recession surgery. Care should be taken not to tighten the neurofibrovascular bundle of the IO muscle during surgery.
authors.affiliation: a Department of Ophthalmology , Ondokuz Mayis University Hospital , Samsun , Turkey.
authors.forename: Leyla
authors.initials: L
authors.lastname: Niyaz
authors.affiliation: a Department of Ophthalmology , Ondokuz Mayis University Hospital , Samsun , Turkey.
authors.forename: Ozlem Eski
authors.initials: OE
authors.lastname: Yücel
authors.affiliation: a Department of Ophthalmology , Ondokuz Mayis University Hospital , Samsun , Turkey.
authors.forename: Adem
authors.initials: A
authors.lastname: Gul
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015835:Ocular Motility Disorders / Q000601:surgery*; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*; D012189:Retrospective Studies; D055815:Young Adult
keywords: Adherence syndrome; antielevation; inferior oblique; strabismus surgery