Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 4 Issue 2

Combining Partial-tendon Knapps Procedure with Posterior Tenectomy of Superior Oblique in a Case of Inferior Oblique Palsy

Sandra C Ganesh1*, Aylette D’Silva2, Shilpa G Rao1 and Murali Krishnan S2

1Consultant, Department of Pediatric Ophthalmology and Strabismus, Aravind Eye Hospital, Coimbatore, India
2Fellow, Department of Pediatric Ophthalmology and Strabismus, Aravind Eye Hospital, Coimbatore, India

*Corresponding Author: Sandra C Ganesh, Consultant, Department of Pediatric Ophthalmology and Strabismus, Aravind Eye Hospital, Coimbatore, India.

Received: January 08, 2021; Published: February 08, 2020

×

Abstract

Introduction: Isolated inferior oblique palsy is one of the rarest among extra ocular muscle palsies. In addition to posing a diagnostic challenge, multiple surgical techniques have been described in its surgical treatment.

Case Report: A 23-year old female presented with unilateral right eye hypotropia and diminished vision. Following detailed evaluation, she was diagnosed with right eye inferior oblique palsy with A pattern exotropia and strabismic amblyopia. We performed a combined surgical procedure involving a partial Knapp's procedure with augmentation (using superior halves of medial and lateral recti), LR recession (using inferior half of split LR) and posterior tenectomy of superior oblique (PTSO), which resulted in a satisfactory postoperative outcome.

Conclusion: IO palsy is a rare condition, which requires to be differentiated from neurological causes, Brown syndrome and skew deviation. Both exotropia and hypotropia have been corrected in the same procedure, using split halves of only two horizontal recti muscles, thus preventing possibility of anterior segment ischemia. This combination, along with LR recession, for exotropia and PTSO, produces satisfactory alignment.

Keywords: Inferior Oblique Palsy; Split Tendon Knapp's Procedure; Posterior Tenectomy of Superior Oblique; A-Pattern Exotropia; Right Hypotropia

×

Citation

Citation: Sandra C Ganesh.,et al. “Combining Partial-tendon Knapps Procedure with Posterior Tenectomy of Superior Oblique in a Case of Inferior Oblique Palsy".Acta Scientific Ophthalmology 4.3 (2021): 16-19.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is October 10, 2022.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US