Retrospective review evaluates treatment outcomes and prognostic factors in superior oblique palsy cases, indicating individualized management approaches.
Key Points
This research aims to understand the characteristics and treatment effectiveness for superior oblique palsy patients.
Retrospective review of patients diagnosed with superior oblique palsy from January 2012 to October 2022.
Analysis of patient demographics, etiology, preoperative evaluations, treatment approaches, and surgical outcomes.
Surgical success criteria defined by ocular deviation metrics and resolution of diplopia.
75.4% of cases were acquired, primarily due to ischemia, with 84.2% showing unilateral involvement.
Congenital cases had significantly higher surgery requirements (OR 30, 95% CI [3.55–253.86]; p < .001).
Postoperative outcomes showed an 84.6% motor success rate and 50% sensory success; significant improvements in vertical deviation were noted (p < .001).