ABSTRACT
ABSTRACT: 25 patients who underwent surgical correction for unilateral superior oblique palsy were enrolled in the study. Inferior oblique recession was performed to treat the cases with hypertropia of 15 prism diopters or less. In cases with more than 15 prism diopters hypertropia, inferior oblique recession was combined with contralateral inferior rectus recession. Cases with marked laxity of the superior oblique muscle were treated with superior oblique tendon tuck. A patient was considered to have successful outcome if the abnormal head posture and diplopia were relieved and the postoperative hyperdeviation was 5 prism diopters or less in primary position and 10 prism diopters or less in oblique gaze positions. Our overall success rate was %84. In the treatment of superior oblique palsy favorable results can be achieved with careful clinical assessment and appropriate surgical intervention.
