Temporary incyclotorsion following surgical correction of bilateral superior oblique palsy. |
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Authors: | Helen J Griffiths John P Burke |
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Affiliation: | Academic Unit of Ophthalmology and Orthoptics, Royal Hallamshire Hospital, University of Sheffield, Glossop Road, Sheffield, United Kingdom. h.griffiths@sheffield.ac.uk |
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Abstract: | We report three patients with acquired bilateral superior oblique paresis who had bilateral modified Harada-Ito procedures, which resulted in significant incyclotorsion (ranging from 6 degrees to 19 degrees ) on the first day postoperatively. For Case 1 this was the only procedure, while Cases 2 and 3 also underwent simultaneous bilateral inferior oblique weakening. This overcorrection decreased spontaneously over the following 8 months to leave all patients asymptomatic. One patient returned 8 years following the initial surgery with symptoms of diplopia and recurrence of excyclotorsion. |
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