Abstract

Inferior oblique recession (IOR) may be indicated in patients with incomitant vertical deviations, but some are concerned that this fixed procedure may cause overcorrections when the central gaze hypertropia is small. This study evaluated effects of IOR in cases of laterally incomitant hypertropias <10Δ in central gaze, clinically consistent with superior oblique palsy (SOP) based upon the three-step test.

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