[Treatment of superior oblique paresis after posterior segment surgery]
1Service d'Ophtalmologie, Hôpital 20 Août 1953, Casablanca, Maroc.
Purpose:
The purpose of this study is to report our experience in the treatment of patients with paresis of the superior oblique after posterior segment surgery.
Patients:
and method: Between 1997 and 1998, we cared for four cases at the ophthalmology department of the Casablanca University Hospital. All four patients were men (mean age 44 years, range 31-67 years) with vertical diplopia. Our management scheme was based on prismotherapy and intensive motor and sensory orthoptic rehabilitation.
Results:
A satisfactory clinical course was achieved in 3 patients after a mean 20 rehabilitation sessions. In the last case with a cyclotorsion, surgery was required after failure of medical treatment.
Conclusion:
Our therapeutic scheme appears to be effective only in case of deficient verticality.
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