Abstract
Superior oblique tendon weakening procedures are used in the management of various types of strabismus, including superior oblique overaction, inferior oblique palsy, and Brown’s syndrome (see Chap. 7). Most procedures weaken the superior oblique muscle by slackening the tendon. Uncontrolled procedures include tenotomy and tenectomy, in which 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 %.
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References
Wright KW. Superior oblique silicone expander for Brown syndrome and superior oblique overaction. J Pediatr Ophthalmol Strabismus. 1991;28:101–7.
Wright KW, Min BM, Park C. Comparison of superior oblique tendon expander to superior oblique tenotomy for the management of superior oblique overaction and Brown syndrome. J Pediatr Ophthalmol Strabismus. 1992;29:92–7.
Wright KW. Results of the superior oblique tendon elongation procedure for severe Brown’s syndrome. Trans Am Ophthalmol Soc. 2000;98:41–8.
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Wright, K.W., Strube, Y.N.J. (2015). Superior Oblique Tendon Weakening Procedures. In: Color Atlas Of Strabismus Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1480-7_19
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DOI: https://doi.org/10.1007/978-1-4939-1480-7_19
Publisher Name: Springer, New York, NY
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