Modified Harada-Ito Procedure in Acquired Superior Oblique Palsy with Exotropia ()
ABSTRACT
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.
Share and Cite:
Tharmathurai, S. , Liza-Sharmini, A. and Fazilawati, Q. (2016) Modified Harada-Ito Procedure in Acquired Superior Oblique Palsy with Exotropia.
Open Journal of Ophthalmology,
6, 205-209. doi:
10.4236/ojoph.2016.64029.
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