Abstract
Introduction: Biomechanical modeling consistently indicates that superior oblique muscle weakness alone cannot explain the large hypertropia observed in superior oblique muscle palsy. We used magnetic resonance imaging (MRI) to investigate if any adaptive changes in inferior oblique muscle may contribute. Methods: We used surface coils to obtain high-resolution, coronal MRI in central gaze, supraduction, and infraduction in six patients with unilateral superior oblique muscle palsy and 17 orthotropic controls.
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