A concept for the surgical treatment of trochlear palsy.

  title={A concept for the surgical treatment of trochlear palsy.},
  author={Oliver Ehrt and K P Boergen},
  volume={12 2},
The outstanding clinical symptom of acquired uni- and bilateral trochlear palsy is excyclotropia which increases in down-gaze. Any surgical treatment must aim at reducing this deviation. To achieve this, we have routinely used a modification of the Harada-Ito operation over the last 20 years. The anterior part of the tendon is pulled anteriorly and laterally by a loop of unresorbable suture. This not only increases incyclotorsion but also depression in adduction and reduces the V-pattern. In… CONTINUE READING


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