Corrective measures
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%) …
