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September 1974

Temporal Approach to Superior Oblique Surgery

Author Affiliations

Brooklyn, NY
From the Department of Surgery, Division of Ophthalmology, State University of New York Downstate Medical Center, Brooklyn.

Arch Ophthalmol. 1974;92(3):224-226. doi:10.1001/archopht.1974.01010010232011

The nasal approach to weakening the superior oblique frequently presents a problem in easily securing the tendon. As indicated in several reports, the tendon is either mistakenly not cut, or it cannot be found at surgery. We suggest that a dissection temporal to the superior rectus and passing the hook at the insertion of the superior oblique provides a much more predictable approach with similar effect on A-pattern strabismus. As with any procedure, long-term evaluation is necessary to elicit possible complication.