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  • Spontaneous resolution of inferior oblique overaction

Spontaneous resolution of inferior oblique overaction
Reviewed by Fiona Rowe

1 December 2016 | Fiona Rowe (Prof) | EYE - Paediatrics, EYE - Strabismus

The purpose of this study was to evaluate the course of over-elevation in adduction in patients who had surgery for esotropia. Following a chart review, 28 patients met the inclusion criteria with a mean age of 53.5±53.7 months (12-252 months). Twenty-two had infantile esotropia and six were partially accommodative esotropes. Follow-up was for a mean of 16.3±7.9 months. Surgery was with bilateral medial rectus recessions. Eighty-two percent achieved surgical success with further surgery planned for four patients. One declined surgery. Mean preoperative angle was 48.2±10.3PD reducing to 8.4±12.9PD. The mean preoperative inferior oblique overaction was +2.1±0.7 reducing to +0.8±0.9 which was significant. Final examination showed that over elevation in adduction regressed in 81% of which 34.6% completely resolved without inferior oblique surgery. Limitations of this study were its retrospective design and small sample size.

Spontaneous regression of over-elevation in adduction following esotropia surgery.
Goncu T, Akal A, Adibelli FM, et al.
JOURNAL OF PAEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2016;53(1):35-9.
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Fiona Rowe (Prof)
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Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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