Article citationsMore>>

Bradfield, Y.S., Struck, M.C., Kushner, B.J., Neely, D.E., Plager, D.A. and Gangnon, R.E. (2012) Outcomes of Harada-Ito Surgery for Acquired Torsional Diplopia. Journal of American Association for Pediatric Ophthalmology and Strabismus, 16, 453-457.
http://dx.doi.org/10.1016/j.jaapos.2012.06.007

has been cited by the following article:

• TITLE: Modified Harada-Ito Procedure in Acquired Superior Oblique Palsy with Exotropia

  AUTHORS: Sangeetha Tharmathurai, Ahmad Tajudin Liza-Sharmini, Qamaruddin Fazilawati

  KEYWORDS: Modified Harada-Ito, Superior Oblique Palsy, Exotropia, Strabismus

  JOURNAL NAME: Open Journal of Ophthalmology, Vol.6 No.4, November 9, 2016

  ABSTRACT: Superior oblique palsy is the most common isolated cranial nerve palsy and is commonly associated with exotropia. Modified Harada-Ito procedure can be used to correct excyclotorsion in symptomatic patients. We report a case of acquired superior oblique palsy with exotropia undergoing modified Harada-Ito procedure. A 33 years old man presented with torsional diplopia. On examination there was 10 degrees of left excyclotorsion on double Maddox rod with 25-diopter of exotropia on primary gaze and 20-diopter on lateral gaze suggestive of lateral incomitancy. He underwent a Fells modification of Harada-Ito procedure with bilateral rectus recession. Three months postoperative, he was orthophoric. Modified Harada-Ito procedure is a successful procedure in overcoming torsional diplopia. It is important to identify lateral incomitancy to prevent overcorrection of the horizontal deviation.