Abstract

Tucking of the superior oblique tendon is an effective strengthening procedure, but it invariably results in at least transient postoperative Brown's syndrome. This complication may be avoided by using a modification of the Harada-Ito procedure, in which the entire superior oblique tendon is advanced anterolaterally without disinsertion or resection. The operation is easy to perform and may be used with adjustable sutures if desired.

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