Surgical Analysis of the Congenital Superior Oblique Paralysis

Objective:To analyze the clinical feature and surgical treatment of congenital superior oblique paralysis.Methods:The clinical feature and surgical effect of one hundred and twenty-six cases with congenital superior oblique paralysis were analyzed retrospectively.Results:50 cases were cured(40.0%),60 cases were improved(47.6%),and 12 cases received no effectiveness(9.38%).Conclusion:The principle for the surgery of congenital superior oblique paralysis is to weaken direct antagonist and yoke muscles,or strengthen controlateral antagonist,which can get ideal effects if performed according to the excess degree of the superior oblique muscle and the degree of the vertical strabismus.