Modified Harada-Ito Procedure in Acquired Superior Oblique Palsy with Exotropia  

作　　者：Sangeetha Tharmathurai Ahmad Tajudin Liza-Sharmini Qamaruddin Fazilawati Sangeetha Tharmathurai;Ahmad Tajudin Liza-Sharmini;Qamaruddin Fazilawati(Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Malaysia;Department of Ophthalmology, Hospital Tengku Ampuan Rahimah, Klang, Malaysia)

机构地区：[1]Department of Ophthalmology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, Malaysia [2]Department of Ophthalmology, Hospital Tengku Ampuan Rahimah, Klang, Malaysia

出　　处：《Open Journal of Ophthalmology》2016年第4期205-209,共5页眼科学期刊（英文）

摘　　要：Superior oblique palsy is the most common isolated cranial nerve palsy and is commonly associated with exotropia. Modified Harada-Ito procedure can be used to correct excyclotorsion in symptomatic patients. We report a case of acquired superior oblique palsy with exotropia undergoing modified Harada-Ito procedure. A 33 years old man presented with torsional diplopia. On examination there was 10 degrees of left excyclotorsion on double Maddox rod with 25-diopter of exotropia on primary gaze and 20-diopter on lateral gaze suggestive of lateral incomitancy. He underwent a Fells modification of Harada-Ito procedure with bilateral rectus recession. Three months postoperative, he was orthophoric. Modified Harada-Ito procedure is a successful procedure in overcoming torsional diplopia. It is important to identify lateral incomitancy to prevent overcorrection of the horizontal deviation.Superior oblique palsy is the most common isolated cranial nerve palsy and is commonly associated with exotropia. Modified Harada-Ito procedure can be used to correct excyclotorsion in symptomatic patients. We report a case of acquired superior oblique palsy with exotropia undergoing modified Harada-Ito procedure. A 33 years old man presented with torsional diplopia. On examination there was 10 degrees of left excyclotorsion on double Maddox rod with 25-diopter of exotropia on primary gaze and 20-diopter on lateral gaze suggestive of lateral incomitancy. He underwent a Fells modification of Harada-Ito procedure with bilateral rectus recession. Three months postoperative, he was orthophoric. Modified Harada-Ito procedure is a successful procedure in overcoming torsional diplopia. It is important to identify lateral incomitancy to prevent overcorrection of the horizontal deviation.

关 键 词：Modified Harada-Ito Superior Oblique Palsy EXOTROPIA STRABISMUS 

分 类 号：R73[医药卫生—肿瘤]