Skip to main content
Log in

Recession and anterior transposition of the inferior oblique for treatment of superior oblique palsy

  • Original Investigations
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript


We evaluated the effectiveness of inferior oblique recession with anterior transposition in treating 12 patients with superior oblique palsy. Mean decreases of hypertropia measured 17 prism diopters in the primary position, 24 prism diopters in adduction, and 21 prism diopters on ipsilateral head tilt. Head tilt and diplopia were uniformly eliminated. No surgical complications were encountered. Postoperative deviations were mild and infrequent. Only one patient demonstrated postoperative underaction of the recessed inferior oblique.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others


  1. Bremer DL, Rogers GL, Quick LD (1986) Primary-position hypotropia after anterior transposition of the inferior oblique. Arch Ophthalmol 104: 229–232

    Google Scholar 

  2. DelMonte M, Parks MM (1983) Denervation and extirpation of the inferior oblique. Ophthalmology 90: 1178–1183

    Google Scholar 

  3. Elliott RL, Nankin ST (1981) Anterior transposition of the inferior oblique. J Pediatr Ophthalmol Strabismus 18: 35–38

    Google Scholar 

  4. Knapp R (1974) Classification and treatment of superior oblique palsy. Am Orthopt J 24: 18–22

    Google Scholar 

  5. Parks MM (1972) The weakening surgical procedures for eliminating overaction of the inferior oblique muscle. Am J Ophthalmol 73: 107–122

    Google Scholar 

  6. Parks MM (1974) The overacting inferior oblique muscle. Am J Ophthalmol 77: 787–797

    Google Scholar 

  7. Scott AB (1978) Planning inferior oblique muscle surgery. Third International Strabismus Symposium. Grune & Stratton, New York, pp 347–354

    Google Scholar 

  8. Toosi SH, Noorden GK von (1979) Effect of isolated inferior oblique muscle myectomy in the management of superior oblique muscle palsy. Am J Ophthalmol 88: 602–608

    Google Scholar 

Download references

Author information

Authors and Affiliations


Additional information

Dedicated to Dr. G.K. von Noorden on the occasion of his 60th birthday

Rights and permissions

Reprints and permissions

About this article

Cite this article

May, M.A., Beauchamp, G.R. & Price, R.L. Recession and anterior transposition of the inferior oblique for treatment of superior oblique palsy. Graefe's Arch Clin Exp Ophthalmol 226, 407–409 (1988).

Download citation

  • Issue Date:

  • DOI: