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Disinsertion-distal myectomy and tucking of inferior oblique combined with superior oblique full tendon advancement in superior oblique palsy

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Abstract

Purpose

To assess the preliminary outcomes of inferior oblique (IO) disinsertion-distal myectomy and tucking combined with superior oblique (SO) full tendon advancement in patients with Knapp II or III superior oblique palsy.

Methods

This single-centered retrospective study included 16 eyes from 13 patients with Knapp Class II or III SO palsy. All patients underwent IO disinsertion-distal myectomy and tucking combined with SO full tendon advancement while under general anesthesia. Pre- and post-operative levels of vertical deviation in the primary position, abnormal head position, IO hyperfunction and SO hypofunction, torsion, as well as the presence of diplopia, were all measured, and the differences were statistically compared.

Results

Pre-operatively, 12 patients had abnormal head positions, and two had diplopia. The pre-and post-operative levels of IO hyperfunction and SO hypofunction, as well as a vertical deviation in the primary position and torsion, all differed statistically significantly (p < 0.01).

Conclusions

Inferior oblique disinsertion distal myectomy and tucking combined with SO full tendon advancement surgery appears to be an effective procedure in patients with congenital and acquired Knapp Class II or III SO palsy.

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Acknowledgements

The authors would like to thank ADN MURRAY, Prof. MD., who taught the surgical management of superior oblique muscle palsy.

Funding

The author(s) received no financial support for the research, authorship, and/or publication of this article.

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Authors and Affiliations

  1. Medical Park Private Hospital, Bursa, Turkey

    Burçin Kaya

  2. Department of Ophthalmology, Bilim University Medicine School, Istanbul, Turkey

    Diğdem Beğendi

  3. State Hospital, Manisa, Turkey

    Burçin Akdere

  4. School of Medicine Department of Opthalmology, Akdeniz University, Antalya, Turkey

    Yaşar Duranoğlu

Authors
  1. Burçin Kaya
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  2. Diğdem Beğendi
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  3. Burçin Akdere
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  4. Yaşar Duranoğlu
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Contributions

BK and YD wrote the first draft of the manuscript, which was then reviewed and edited by YD. BA and DB prepared the materials, collected the data, and conducted the analysis. Fıgures created by YD All authors reviewed the manuscript.

Corresponding author

Correspondence to Yaşar Duranoğlu.

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Competing interests

The authors declare no competing interests. The author(s) declare that they have no competing interests as defined by Springer, or any other interests that could be perceived as influencing the results and/or discussion reported in this article.

Ethics approval

This study was carried out by the Helsinki Declaration principles and was approved by the Akdeniz University School of Medicine Ethics Committee with approval date/number: 07 March 2018/206.

Informed consent

Patients provided general consent, agreeing to the use of residual body parts, clinical records, and anonymized data for research purposes.

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Kaya, B., Beğendi, D., Akdere, B. et al. Disinsertion-distal myectomy and tucking of inferior oblique combined with superior oblique full tendon advancement in superior oblique palsy. Int Ophthalmol 43, 511–517 (2023). https://doi.org/10.1007/s10792-022-02449-5

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  • DOI: https://doi.org/10.1007/s10792-022-02449-5

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