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Superior oblique tendon incarceration syndrome
1Department of Ophthalmology and Visual Sciences, University of Wisconsin Hospital and Clinics, 2870 University Ave, Suite 206, Madison, WI 53705, USA. bkushner@wisc.edu
Archives of Ophthalmology (Chicago, Ill. : 1960)
|August 19, 2007
Summary
Superior oblique tendon incarceration syndrome, a complication of eye muscle surgery, causes restrictive hypertropia and incyclotropia. Careful surgical technique may prevent this difficult-to-treat condition.
Area of Science:
- Ophthalmology
- Strabismus Surgery
- Ocular Motility
Background:
- Superior oblique tendon incarceration syndrome is a rare complication following strabismus surgery.
- It presents as restrictive hypertropia and incyclotropia due to adhesions between the superior oblique tendon and superior rectus muscle.
Purpose of the Study:
- To detail the clinical presentation, causes, and treatment outcomes of superior oblique tendon incarceration syndrome.
- To identify potential preventative measures for this surgical complication.
Main Methods:
- Retrospective case series of 18 patients (20 eyes) treated for superior oblique tendon incarceration syndrome.
- Analysis of prior surgical procedures and outcomes of corrective surgeries.
Main Results:
- Mean hypertropia was 15.4 prism diopters and mean incyclotropia was 15.0 degrees.
- Common causes included prior surgery on the superior rectus or superior oblique tendons.
- Treatment required an average of 1.9 additional surgical procedures.
Conclusions:
- Superior oblique tendon incarceration syndrome is a challenging complication of anterior segment eye muscle surgery.
- Preventative strategies focusing on careful surgical handling of the superior oblique tendon and superior rectus muscle may reduce incidence.
- Further research into optimal surgical management is warranted.
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