Abstract
Purpose: We report the procedure of inferior oblique anterior transposition (IOAT) in the treatment of upshoot in patients with Duane retraction syndrome (DRS). Methods: Two patients with DRS underwent surgery for severe up-shoot. For both patients, the inferior oblique (IO) was transposed to the temporal border of IO insertion. Approximately 64 months of periodic follow-ups for Case 1 and 7 months of periodic follow-ups for Case 2 were conducted. Results: After surgery, both patients showed a marked decrease in upshoot without noticeable anti-elevation syndrome. Conclusions: IOAT is an effective procedure in the treatment of significant upshoot in DRS
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