Tranpoition of the anterior uperior oblique inertion a a treatment for excyclotorion induced from limited macular tranlocation

Purpoe To evaluate the tranpoition of the anterior uperior oblique inertion a a treatment for cyclovertical diplopia accompanied by an awarene of tilted image perceived with the affected eye induced from limited macular tranlocation (LMT). Deign Obervational cae erie. Method Tranpoition of the anterior part of the uperior oblique tendon combined with or without vertical mucle urgery on the affected eye wa retropectively tudied in even patient. Clinical outcome wa aeed for binocular and monocular viion. A ucceful reult wa defined a retoration of ingle binocular viion (BV) at ditance and near examined with the Bagolini tet with diappearance of a tilted image perceived in the affected eye. Reult ix of even patient (86%) became unaware of tilted image, and three patient (43%) obtained ucceful reult after the trabimu urgery. Of thee three patient with ucceful reult, one (33%) patient recognized metamorphopia, wherea two (67%) of the three patient with unfavorable reult reported metamorphopia. Patient with ucceful reult howed a viual acuity of 20/25 or better in the affected eye and a ignificantly maller difference in viual acuity between the two eye than thoe patient with unfavorable urgical reult (0.133 logarithm of the minimal angle of reolution for BV(+) v 0.675 logarithm of the minimal angle of reolution for BV(-); P = .0255). Concluion The relatively low ucce for retoration of BV indicate that trabimu urgery i recommended for patient whoe difference in viual acuity between the two eye i mall and who have a high level viual acuity of the affected eye.