Inferior oblique inclusion, Incidence Early detection and Prevention

Document Type : Original Article

Author

Department of ophthalmology, Faculty of medicine Al Azhar University.

Abstract

Purpose: To evaluate the incidence of inferior oblique inclusion during hooking of the lateral rectus muscle and how to detect and prevent.  
 
Methods : 50 patients (80) eyes operated upon lateral rectus muscles(recession 55 eyes resection 25 eyes ) for correction of horizontal deviation (esotropia and exotropia) the incidence of inferior oblique inclusion during hooking of the lateral rectus muscle throw fornix conjunctival  incision was evaluated and managed.
 
Results: the incidence of inferior oblique inclusion was found in 17 eyes 21.25%(12 eyes 15% Partial inclusion and 5 eyes 6.25% total inclusion) the inclusion was detected and managed early. Post operatively no element of vertical deviation due to inferior oblique inclusion.
 
Conclusion: inferior oblique inclusion is a preventable complication if taken in consideration during hooking of the lateral rectus muscle.



 
 
 
 

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