A technique of superior oblique tenotomy employing an extremely small muscle hook is described and illustrated by cadaver dissections. Familiarity with the details of the anatomy of the area of surgery is helpful in engaging and delivering the superior oblique tendon with minimal trauma. Several pitfalls in performing this procedure are described and illustrated.
Hardesty HH. Superior Oblique Tenotomy. Arch Ophthalmol. 1972;88(2):181-184. doi:10.1001/archopht.1972.01000030183009