Journal of the Korean Ophthalmological Society 1987;28(2):381-386.
Published online February 1, 1987.
Treatment of Marked Overaction of Inferior Oblique: Denervation and Extirpation of Inferior Oblique.
Yoon Ae Cho
Department of OphthalmoJogy, Korea University College of Medicine, Seoul, Korea.
심한 하사근 기능항진의 교정 - 신경제거와 하사근적출술 -
조윤애(Yoon Ae Cho)
Abstract
The procedures available to weaken inferior oblique muscle overaction(IOOA) are disinsertion, tenotomy, myectomy, and recession. But those procedures are ineffective in the cases of 4+ overacting inferior oblique and postoperative return of overaction following those surgeries. The author performed denervation and extirpation in 8 cases with 4+ or marked IOOA and 1 case of return of IOOA following 14mm recession of inferior oblique. None of those has shown a return of IOOA, undercorrection, overcorrection and any other complications such as adherence syndrome at follow-up of at least 10 months.


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