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March 1986

Repairing the Superior Oblique Tendon

Author Affiliations

Zanesville, Ohio

Arch Ophthalmol. 1986;104(3):336. doi:10.1001/archopht.1986.01050150030010

To the Editor.  —Two interesting cases of direct trauma to the superior oblique tendon following penetrating injuries of the upper eyelid were described by Bachynski and Flynn1 in the October 1985 Archives.In the first case, Bachynski and Flynn described severe damage to the superior oblique muscle necessitating superior oblique tendectomy. The superior rectus muscle was recessed during the same procedure. It appears to me that a more appropriate procedure would have been an inferior oblique myomectomy or recession, weakening the direct antagonist of the superior oblique. Why did Bachynski and Flynn choose to weaken the superior rectus muscle?

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