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RESEARCH PAPER
Inferior Oblique Muscle Surgery for Treatment of V-pattern Strabismus and Dissociated Vertical Deviation
1
Independent Public Clinical Ophthalmology Hospital in Warsaw, Poland
Head: Prof. Jacek P. Szaflik, PhD (hab.), MD
2
LASER Eye Microsurgery Center in Warsaw, Poland
3
Department of Binocular Vision Pathophysiology and Strabismus Treatment, First Department of Eye Diseases, Medical University of Lodz, Poland
Head: University Professor Piotr Loba, PhD (hab.), MD
Submission date: 2024-11-26
Acceptance date: 2024-12-07
Publication date: 2025-03-29
Ophthalmology 2024;27(4):19-23
KEYWORDS
ABSTRACT
The inferior oblique muscle plays a key role in controlling eye position during changes in gaze direction, particularly in coordinating vertical and torsional movements. Its anatomy is somewhat different compared to the other extraocular muscles, making its understanding crucial for accurate diagnosis and effective surgical treatment. V-pattern strabismus with inferior oblique muscle overaction and dissociated vertical deviation, alongside trochlear nerve palsy, are among the most common indications for surgical procedures on the inferior oblique muscles. This article discusses the surgical techniques used in the treatment of V-pattern strabismus and dissociated vertical deviation and highlights the potential complications that may arise. The importance of assessing objective and subjective cyclotorsion in the diagnosis and surgical planning of these conditions is also emphasized.
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