Superior Oblique Tendon Weakening Procedures


Superior oblique tendon weakening procedures are used in the management of various types of strabismus including superior oblique overaction, inferior oblique palsy, and Brown’ syndrome (see Chapter 7). Most procedures weaken the superior oblique muscle by slackening the tendon. Uncontrolled procedures include tenotomy and tenectomy, as the tendon is cut and the cut ends are free to widely separate or scar back together. These uncontrolled procedures should not be used in patients with binocular fusion, as the incidence of consecutive superior oblique palsy is more than 50%.


Superior Rectus Intermuscular Septum Silicone Band Binocular Fusion Suture Bridge 
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© Springer Science Business Media, LLC 2007

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