Results and selection about surgical manner for congenital superior oblique muscle paralysis

Objective To investigate the effect of different surgical manners in treating congenital superior oblique muscle palsysis(SOP) .Methods Analyzed 102 congenital superior oblique palsysis surgical effect and compared the different surgical manner result. Results 102 cases had 121 operations with average of 1.19 operations per patient.76cases of 102 were present unilateral superior oblique paralysis,26cases of 102 were present bilateral superior oblique paralysis.24 cases of 102 congenital superior oblique parlysis combined with DVD.78 cases of 102 were present head tilt,24cases had no head tilt.After operation,45cases of 78 head tilt were eliminated,26 cases of 78 turned for the better,3 cases also were present head tilt.38 cases of 78 had binocular vision in preoperative,51 cases had binocular vision in postoperaive.10 cases of 75 cases were treated by tenotomy of the inferior oblique muscle,the effective rate was 70%.12 cases of 75 cases were treated by myectomy of the inferior oblique muscle,the effective rate was 83.33%.33 of 75 cases were treated by recession of the inferior oblique muscle,the effective rate was 87.88%.20 cases of 75 cases were treated by anterior transposition of the inferior oblique muscle,the effective rate was 90%.89.21%(91)cases achieved an excellent result. Conclusions No typical mode of treatment exists for congenital superior oblique paralysis,and the surgeon must remain flexible because of the complex signs and symptoms.The effect of surgery is good.