Journal Reviews

Surgical management and review of congenital inferior rectus dysgenesis

3 October 2023 | | Paediatric Ophthalmology / Strabismus | Congenital hypertropia, IOANT, imaging in strabismus, inferior rectus hypoplasia

Three cases are presented of congenital inferior rectus (IR) dysgenesis causing hypertropia. Case 1 was a two-year-old female with intermittent vertical strabismus of 20PD and -2 limitation on depression, worse in abduction. MRI imaging showed a hypoplastic IR. Following surgery,...

Surgical technique for small-angle hypertropia

3 October 2022 | | Paediatric Ophthalmology / Strabismus | Diplopia, inferior oblique muscle belly transposition with myopexy, mild-to-moderate upshoot in adduction, small angle hypertropia

In order to treat small-angle hypertropia of <5PF associated with mild / moderate upshoot in adduction, an option is to suture the inferior oblique (IO) belly to the sclera following its natural muscle direction or with anterior transposition. This study...

Supranuclear palsy

1 December 2016 | | Paediatric Ophthalmology / Strabismus | Double elevator palsy, Knapp procedure, hypertropia, innervational surgery, monocular elevation deficiency, strabismus surgery, supranuclear palsy

This paper reports the results of surgery for supranuclear monocular elevation deficiency. Contralateral superior rectus maximal recession was undertaken without interfering with the superior oblique tendon position, transection of the superior oblique to the superior rectus frenulum and directly suturing...