Surgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approach

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dc.contributor.authorÖzsoy, Kadir Ercan
dc.contributor.authorGündüz, Abuzer
dc.contributor.authorÖztürk, Emrah
dc.contributor.authorÇankaya, Cem
dc.date.accessioned2024-08-04T19:42:50Z
dc.date.available2024-08-04T19:42:50Z
dc.date.issued2020
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjectives: The aim of this research was to assess the surgical results of recession and myectomy procedures in a subgroup of patients who had primary inferior oblique muscle overaction.Methods: The records of 94 patients who had been treated due to primary inferior oblique muscle overaction were retrospectively analyzed. The patients were classified into 2 groups according to the severity of the inferior oblique hyperfunction. Recession was performed for patients with a low grade (+1 or +2) inferior oblique hyperfunction, and patients with high grade (+3 or +4) hyperfunction underwent myectomy surgery. Patients demonstrating a horizontal misalignment underwent conventional horizontal muscle surgery along with an inferior oblique weakening procedure.Results: A total of 134 eyes fulfilled the inclusion criteria. Recession was performed in 95 eyes and myectomy in 39. Surgical success was obtained in 96.8% of the eyes that underwent recession and 97.4% of the eyes that underwent myectomy. Residual inferior oblique hyperfunction was observed in 3 eyes after recession and in 1 eye after myectomy. After surgery, about one-quarter of the patients with unilateral inferior oblique overaction subsequently developed a contralateral inferior oblique overaction.Conclusion: The results of this study demonstrated that both recession and myectomy procedures are effective for treating primary inferior oblique hyperfunction with minimal complications when applied in the appropriate patient.en_US
dc.identifier.doi10.14744/bej.2020.81904
dc.identifier.endpage42en_US
dc.identifier.issn2459-1777
dc.identifier.issn2587-0394
dc.identifier.issue1en_US
dc.identifier.startpage38en_US
dc.identifier.trdizinid412472en_US
dc.identifier.urihttps://doi.org/10.14744/bej.2020.81904
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/412472
dc.identifier.urihttps://hdl.handle.net/11616/88725
dc.identifier.volume5en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofBEYOGLU EYE JOURNALen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleSurgical Management of Primary Inferior Oblique Muscle Overaction: A Subgroup-Specific Surgical Approachen_US
dc.typeArticleen_US

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