Pre-Op Exam




ELEV OD -2 ELEV OD -4 ELEV OD -5 Normal motility (R) Hypo 25, RET 20 Downshoot in ADD Normal alignment Normal alignment Superior oblique +3

Severe (R) EsoHypotropia

Forced duction test pre and post tenotomy of (R) superior oblique

Diagnosis

Acquired Brown syndrome OD

Partially accomodative Esotropia

#1 (R) Superior oblique tenotomy

#2 (R) Medial rectus recess 4.5 mm, (R) Lateral rectus resect 6 mm




normal ELEV in add OD -1 normal RET 30, (R) Hypo 0 (R) Hypo 0 normal normal (R) superior oblique normal

Resolved (R) Hypotropia, large ET without glasses




normal ELEV in adduction normal RHT 8, RET 0 mild RHT normal (R) superior oblique normal

Full-face photo after final surgery