Superior Oblique Surgery

Jeanette Yap

The logical treatment of a paralytic deviation is to strengthen the affected muscle and /or weaken its direct antagonist. Other methods of attack are unsound, in our experience. We have frequently seen disastrous results from the surgical treatment often recommended for superior oblique palsy, namely weakening of the contralateral inferior rectus or of the ipsilateral inferior oblique. The following case history illustrates this point.