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Chapter-36 Superior Oblique Surgery—Indications, Approach and Management

BOOK TITLE: Surgical Techniques in Ophthalmology (Pediatric Ophthalmic Surgery)

Author
1. Sharma Pradeep
2. Sharma Reena
ISBN
9789350251485
DOI
10.5005/jp/books/11282_36
Edition
1/e
Publishing Year
2011
Pages
5
Author Affiliations
1. Dr RP Centre for Ophthalmic Sciences, AIIMS, New Delhi, India, Dr RP Centre for Ophthalmic, Sciences, AIIMS, New Delhi, India, Dr RP Centre for Ophthalmic Sciences AIIMS, New Delhi, Dr RP Centre for Medical Sciences, AIIMS, New Delhi, India, Dr RP Centre for Ophthalmic Sciences, AIIMS, New Delhi, BLK Superspeciality Hospital, New Delhi, India, AIIMS, New Delhi, India, Sri Balaji Action Medical Institute, New Delhi, India, SPS Apollo Hospitals, Ludhiana, Punjab, India, Dr Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Deep Hospital, Ludhiana, Punjab, India, Strabismus, Pediatric Ophthalmology and Neuro-ophthalmology Centre for Sight, New Delhi, India, Command Hospital, Pune, Maharashtra, India, Deep Hospital, Satguru Partap Singh Apollo Hospitals, Ludhiana, Punjab, India
Chapter keywords

Abstract

The superior oblique muscle is a fusiform muscle on the upper, medial side of the globe whose primary action is downward, lateral rotation of the eye. This muscle is innervated by the trochlear nerve. The primary action of the superior oblique muscle is intorsion, the secondary action is depression. Surgery on superioroblique muscle is indicated in inferior oblique palsy, Brown’s syndrome, skew deviation, and strabismus deorsoadductorius. There are two approaches to expose the superior oblique muscle—either nasal or temporal to the superior rectusmuscle. There areprocedures for weakeningsuperior oblique and strengthening of the superior oblique muscle. Complications of superior oblique surgery are injury to vortex vein, upper lid edema and ptosis, Iatrogenic Brown’s syndrome.

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