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superior_oblique_palsy_surgery_unilateral [2015/11/09 04:01] – created adminsuperior_oblique_palsy_surgery_unilateral [2025/04/18 20:40] (current) – external edit 127.0.0.1
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 +====== Surgery for Unilateral Superior Oblique Palsy ======
  
 +==== Illustrated for Right SOP ====
 +
 +^Class^R. Hyper^R.Gaze^SOUA^IOOA^Treatment^
 +|1|<15|None|0 to -1|+2 to +3|RIOc|
 +|2|<15|None|-1 to-2|+3 to +4|RIOc or RIOmx|
 +|3a|<15|None|-2 to -4|0 to +1|LIRc|
 +|3b|<15|As 3 a but with significant torsion |||RSOt or Harada-Ito + LIRc|
 +|4|>15|Significant|0 to -2|+3 to +4|RIOc or RIOmx + RSRc|
 +|5|>15|Significant|-2 to-3|0 to +2|RIOc + LIRc|
 +|6|>30|Significant >15|-2 to -3|+3 to +4|RIOc + LSRs & LIRc|
 +|7a|<15|With spread of commitance|||RSRc|
 +|7b|>15|With spread of commitance|||RSRc + RIRs or LIRc|
 +|8|<20|Fallen eye syndrome|||LIRc|
 +
 +SOP: Superior Oblique Palsy\\
 +Sig: significant\\
 +SOUA: Superior oblique underaction\\
 +IOOA: Inferior oblique overaction\\
 +Treatment: Suggested treatment\\
 +RIOc: Right Inferior Oblique recessions or other weakening procedure\\
 +RSOt: Right Superior Oblique Tuck\\
 +LIRc: Left Inferior rectus recession\\
 +LSRc: Left Superior rectus recession\\
 +RSRc: Right Superior rectus recession\\
 +RIRs: Right Inferior rectus resection\\
 +RIOmx:  Right Inferior Oblique Myectomy\\
 +Based on Scott WE, Kraft SP. //Classification and Treatment of Superior Oblique Palsies:I. Unilateral Superior Oblique Palsies.// Transactions of the New Orleans Academy of Ophthalmology. 1986: 15-38.\\
 +
 +{{tag>Strabismus_Surgery}}