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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2006, Number 4

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Rev Mex Oftalmol 2006; 80 (4)

Resultados del tratamiento en parálisis del oblicuo superior

Gulias-Cañizo R, Rubio-Lezama M

Language: Spanish
References: 10
Page: 195-199
PDF size: 481.26 Kb.


ABSTRACT

Introduction: Superior oblique palsy is the isolated cyclovertical palsy most frequently encountered by the ophthalmologist.
Objective: Asses the frequency and etiology of superior oblique palsy in a 5 year period in a strabismus department, and analyze the medical and surgical treatments used in order to know the evolution and prognosis and compare our results to that previously reported.
Material and methods: Retrospective study of 134 patients with diagnosis of superior oblique palsy or paresis.
Results: Our results do not differ to those previously reported.
Discussion: Botulinum toxin is a good alternative with patients with recent evolution, and for patients with hypertropia of 15 diopters or less, a myectomy of the ipsilateral inferior oblique is the treatment of choice.


REFERENCES

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  5. American Academy of Ophthalmology. Pediatric Ophthalmology and Strabismus. San Francisco: American Academy of Ophthalmology, 2002-2003.

  6. Merino P, Gómez De Liaño P, García C y col. Parálisis bilateral del cuarto par y toxina botulínica. Archivos de la Sociedad Española de Oftalmología 2004; 79:119-124.

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  10. Helveston EM, Mora JS, Lipsky SN y col. Surgical treatment of superior oblique palsy. Trans Am Ophthalmol Soc 1996; 94:315-28.




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