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--- superior_oblique_palsy_surgery_unilateral [2015/11/09 04:08] – [Illustrated for Right SOP] admin
+++ superior_oblique_palsy_surgery_unilateral [2025/04/18 20:40] (current) – external edit 127.0.0.1
@@ Line 1: / Line 1: @@
+====== 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}}

strabismus surgery