AlHarkan Dora H
Ophthalmology, Qassim University, Buridah, SAU.
Cureus. 2023 Dec 27;15(12):e51152. doi: 10.7759/cureus.51152. eCollection 2023 Dec.
The inferior oblique muscle overaction (IOOA) results in eye elevation on adduction, head tilt, difficulty in reading/writing, and changing ocular alignments in different gazes. Surgical correction is the management. We present two cases of bilateral and one case of unilateral IOOA that resolved spontaneously, and surgery differed. There was no IOOA six months after diagnosis. A sustained resolution IOOA following correction of hyperopia, improvement of vision, and esotropia correction possibly leading to rebalancing and maturing of extraocular muscles. Ophthalmologists should refer all IOOA cases to strabismologists, should not hurry to operate, counsel parents, and monitor a child's ocular movements.
下斜肌亢进（IOOA）会导致内收时眼球上抬、头部倾斜、读写困难以及不同注视方向时眼位改变。手术矫正是治疗方法。我们报告了两例双侧和一例单侧IOOA自发缓解的病例，且手术方式不同。诊断后六个月时已无IOOA。远视矫正、视力改善以及内斜视矫正后IOOA持续缓解，这可能导致眼外肌重新平衡和成熟。眼科医生应将所有IOOA病例转诊给斜视专家，不应急于手术，要向家长提供咨询，并监测儿童的眼球运动。
