Reduction of vertical deviation and ocular torsion are the goals of any surgical treatment of superior oblique palsy.
Our study (n = 70) compares different surgical approaches: Resection (Tuck) of the superior oblique, recession of the inferior oblique, combined operation on both obliques of the involved side, posterior fixation of the inferior rectus on the fellow eye, with or without simultaneous tuck of the paretic superior oblique, Harada-Ito procedure. Reduction of the vertical deviation in different directions of gaze and reduction of cyclotropia in primary position have been compared for each type of operation.