Different Surgical Approaches for treatment of isolated dissociated vertical deviation without inferior oblique overaction.

Abstract

To report the surgical results on superior rectus recession (SRR) and inferior oblique anterior transposition (IOAT) for cases with isolated bilateral dissociated vertical deviation（DVD）without inferior oblique overaction (IOOA). A retrospective review was conducted for cases with isolated bilateral DVD without IOOA who were surgically treated using either bilateral SRR (SRR group) or IOAT (IOAT group). Pre- and post-operative ocular motility, ocular alignment, amount of DVD and complications were compared between the two groups. Records from 37 cases were reviewed. Preoperative levels of DVD (M ± SD) in the SRR group (N = 18) of 19.88 ± 6.72 prism diopter (PD) in the right eye and 19.54 ± 5.64 PD in the left eye, were reduced to 4.94 ± 7.26 PD and 4.11 ± 3.91 PD respectively after surgery (P＜0.0001 for both). Preoperative levels of DVD (M ± SD) in IOAT group (N = 19) of 15.89 ± 6.35 PD in the right eye and 18.58 ± 9.27 PD in the left eye, were reduced to 3.42 ± 4.49 PD and 3.42 ± 4.88 PD respectively after surgery (P＜0.0001 for both). Inferior oblique (IO) muscle function remained normal after surgery. Overall, outcomes within the SRR group revealed that 10 patients showed a complete resolution of their condition, 6 effective responses and 2 failures. In the IOAT group, 13 patients showed a complete resolution of their condition, 5 effective responses and 1 failure. There were no statistically significant differences between the two groups (Z = 0.48). SRR and IOAT were both effective in treating isolated DVD without IOOA with similar satisfactory results obtained for both procedures.