Editorial
Corrective measures
| The first 150 words of the full text of this article appear below. |
Scotcher et al (p 1031) report a personal series of 21 consecutive patients managed with recession of the inferior rectus muscle. The aetiology was contralateral superior oblique underaction in 62%, thyroid orbitopathy in 9.5%, following retinal detachment surgery in 9.5%, and in the remaining 19%, associated with childhood strabismus. The surgical technique is not reported in detail, but is described as `standard'. Adjustable sutures were used whenever possible in a total of 18 cases (86%).
Their results are enviably good. Only two patients (9.5%) developed an overcorrection, and both could be ascribed to the development of a previously masked contralateral superior oblique paresis, as originally described by Hermann.1
The authors cite several references on late progressive overcorrection
after inferior rectus recession surgery. It would be no exaggeration to
state that this particular surgical misadventure has afflicted most
ophthalmologists who profess an interest in ocular motility, and not a
few whose interest
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Inferior rectus recession
an effective procedure?
- Stephen M Scotcher, Elizabeth A O'Flynn, and Robert J Morris
Br. J. Ophthalmol. 1997 81: 1031-1036.[Abstract] [Full Text] [PDF]
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