Small tuck for superior oblique palsy

Abstract

Some surgeons only treat superior oblique (SO) palsy with a tuck when the SO tendon is lax, either for fear of creating a secondary Brown syndrome or out of belief that a lax tendon signifies a distinct etiology that uniquely responds to SO tuck. This study reports a series of patients with SO palsy treated by small SO tuck in whom lack of tendon laxity precluded a larger tuck.