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KMID : 1038920180170040114
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Annals of Optometry and Contact Lens
2018 Volume.17 No. 4 p.114 ~ p.117
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Surgical Outcome for Congenital Superior Oblique Palsy with Paradoxical Head Tilt
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Kim Joong-Hun
Ha Suk-Gyu
Kim Seung-Hyun
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Abstract
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Purpose: We report the surgery outcome of three cases with congenital superior oblique palsy (SOP) with paradoxical head tilt after conducting ipsilateral inferior oblique (IO) recession.
Case summary: Case 1 was a 4-year-old boy with right head tilt noted since about 3-4 months of age. He demonstrated right hypertropia of 6 prism diopters (PD). Case 2 was a 4-year-old girl who demonstrated left hypertropia of 6 PD and exotropia of 18 PD. She had shown intermittent left head tilt since about 3 months of age. Case 3 was a 8-year-old boy with right head tilt noted since about 1 year of age. He demonstrated right hypertropia of 10 PD. Case 1 underwent left IO recession and left lateral rectus recession. Case 2 and 3 underwent right IO recession.
Conclusions: Ipsilateral IO weakening was also the effective surgery in congenital SOP with paradoxical head tilt as well as in the one manifesting usual head tilt.
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KEYWORD
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Head tilt, Superior oblique palsy, Surgery
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Listed journal information
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