[Unilateral tucking and advancement of the inferior oblique muscle for treatment of A-pattern strabismus].

PATIENTS

The clinical results of the unilateral tucking and advancement of the inferior oblique base on the retrospective data of 81 patients.

METHOD

Tucking and advancement of the inferior oblique was used in A-pattern strabismus, which showed a marked hypofunction of the inferior oblique in relation to hyperfunction of the superior oblique.

RESULTS

The unilateral tucking and advancement of the inferior oblique improves the incomitance as well as the elevating deficiency in adduction. The effect of the operation relative to incomitance depends on its preoperative state. With increasing A-pattern strabismus has an increased effect of the advancement and tucking is revealed.

CONCLUSION

Unilateral tucking and advancement of the inferior oblique is not a routine procedure in the treatment of A-pattern strabismus, but it is possible to improve the incomitance and the elevating deficiency in adduction.