The clinical operation effect of congenital superior oblique palsy

Objective To observe the operation effect of congenital superior oblique palsy. Methods The operation methods were chosen according to the degree of hyperdeviation in primary position and accompanying with hyperfunction of inferior oblique muscle in disease eye or other oblique.In 15 cases 17 eyes,under 20 prism diopters,using inferior oblique myectomy.Accompanied with DVD,3 cases 4 eyes using anterior transposition of the inferior oblique muscle.In 5 cases 5 eyes above 20 prism diopters,associate inferior oblique myectomy with inferior rectus of the sound eye recession.In 3 cases 3 eyes without hyperfunction of inferior oblique muscle in disease eye,using inferior rectus of the sound eye recession.Result After operation,22(25eyes) cases obtained satisfaction.The cure rate of all was 86.2%(25/29).2 cases was effective.1 cases was no recovery.Conclusion Choosing different operation methods according to the degree of hyperdeviation in primary position can get a good clinical effect.