1. Recurrent Superior Oblique Myokymia Treated by Distal Tendon Extirpation
- Author
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Law, Megan X, Hoyt, Creig S, and Horton, Jonathan C
- Subjects
Biomedical and Clinical Sciences ,Ophthalmology and Optometry ,Musculoskeletal ,Eye Movements ,Female ,Humans ,Middle Aged ,Oculomotor Muscles ,Ophthalmologic Surgical Procedures ,Tendons ,Treatment Outcome ,Trochlear Nerve Diseases ,Clinical Sciences ,Neurosciences ,Opthalmology and Optometry ,Ophthalmology & Optometry ,Clinical sciences ,Ophthalmology and optometry - Abstract
BackgroundWe describe successful surgical treatment of superior oblique myokymia, which had recurred after superior oblique tenectomy.MethodsSingle case report.ResultsThe distal stump of the superior oblique tendon was extirpated by stripping it from the globe. The ipsilateral superior rectus muscle also was recessed, to correct a hypertropia that had resulted from the original superior oblique tenectomy.ConclusionsComplete removal of the distal superior oblique muscle tendon provided definitive relief of superior oblique myokymia. Superior rectus muscle recession, combined with previous inferior oblique myectomy, compensated effectively for loss of superior oblique function.
- Published
- 2019