Superior Oblique Muscle - Clinical Significance

Clinical Significance

Superior oblique palsy is a common complication of closed head trauma. Restriction of superior oblique movement due to an inelastic tendon is found in Brown syndrome, leading to difficulty elevating the eye in the adducted position.

Superior oblique myokymia is an uncommon neurological condition caused by vascular compression of the trochlear nerve resulting in repeated, brief, involuntary episodes of movement of the eye.

Operations of the superior oblique include tenotomy, recession, silicone expander lengthening, split tendon lengthening, tucking, and the Harada-Ito procedure.