J Korean Ophthalmol Soc.  1996 Sep;37(9):1521-1525.

The Effect of Recession of Superior Rectus Muscle Combined with Anterior Transposition of the Inferior Oblique Muscle for Dissociated Vertical Deviation

• Lee YH
• Kim IC

Abstract

The authors studied the effect of recession of superior rectus muscle combined with anterior transposition of the inferior oblique muscle for DVD. Superior rectus muscle was tecessed by 4.0-4.5mm combined with antetior transposition of IOM on 26 eyes in 16 patients with 15 +/- 25 delta DVD from March 1991 to September 1995. In all cases we have done transposition of the IOM to just temporal insertion of IRM. The eyes, which have the amount of DVD were less than 20 delta, received 4.0mm recession of SRM, the ones and which have the amount of DVD were more than 20 delta, received 4.5mm recession of SRM. Averaged reduction of DVD in 4.0mm group was 14.5 delta, and in 4.5mm group was 17.6 delta. As for post operative complication, only mild upgaze limitation was abserved in all cases. Recession of SRM combined with anterior transposition of IOM can correct moderate degree of dissociated vertical deviation and this method is relatively simple than other procedure.

Keyword

Dissociated vertical deviation (DVD); Resession of SRM Transposition of IOM

MeSH Terms

Humans