Comparison of surgical methods in the treatment of dissociated vertical deviation

M. B. Esswein, G. K. Von Noorden, Amy G. Coburn

Research output: Contribution to journalArticlepeer-review

37 Scopus citations


The effectiveness of 3- to 5-mm recession of the superior rectus muscle with and without posterior fixation sutures was compared with 7- to 9-mm superior rectus muscle recessions in 228 patients with dissociated vertical deviation. We examined the patients at intervals ranging from six months to three years, and the results were classified as corrected, improved, or failed. Superior rectus muscle recessions of 3 to 5 mm were the least successful treatment. When 3- to 5-mm recession was combined with posterior fixation, the short-term results were more encouraging but the failure rate after three years was nearly the same in both groups (59% and 55%, respectively). The best results (P = .021) were achieved with 7- to 9-mm recessions. After three years the dissociated vertical deviation of most patients treated with this technique remained corrected or improved.

Original languageEnglish (US)
Pages (from-to)287-290
Number of pages4
JournalAmerican Journal of Ophthalmology
Issue number3
StatePublished - Jan 1 1992

ASJC Scopus subject areas

  • Ophthalmology


Dive into the research topics of 'Comparison of surgical methods in the treatment of dissociated vertical deviation'. Together they form a unique fingerprint.

Cite this