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
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: 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.
Copyright: © 2021 Sandra C Ganesh., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.