Cochrane · systematic review · CD012447
Surgical interventions for vertical strabismus in superior oblique palsy
Chang, MY, Coleman, AL, Tseng, VL, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library
Eyes and VisionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 10 · 71.4%Very low 2 · 14.3%Low 0 · 0%Moderate 2 · 14.3%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Inferior oblique myectomy versus recession for vertical strabismus in superior oblique palsy
Population: people with symptom‐producing and/or socially noticeable unilateral overacting inferior oblique muscle; all participants had longstanding unilateral superior oblique underaction
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Proportion of participants with postoperative surgical success (hypertropia less than 3 PD in primary gaze) Inferior oblique myectomy vs recession | no estimate extracted | 1 study · 23 participants | Ungraded |
Proportion of participants with anomalous head position preoperatively with residual head tilt postoperatively Inferior oblique myectomy vs recession | no estimate extracted | 1 study · 23 participants | Ungraded |
Proportion of participants with postoperative hypertropia less than 3 PD in down gaze Inferior oblique myectomy vs recession | no estimate extracted | 1 study · 23 participants | Ungraded |
Proportion of participants with postoperative hypertropia less than 3 PD in contralateral gaze Inferior oblique myectomy vs recession | no estimate extracted | 1 study · 23 participants | Ungraded |
Proportion of participants who received additional strabismus surgery Inferior oblique myectomy vs recession | no estimate extracted | 1 study · 23 participants | Ungraded |
Proportion of participants with reversal of vertical deviation postoperatively Inferior oblique myectomy vs recession | no estimate extracted | 1 study · 23 participants | Ungraded |
Proportion of participants with postoperative orbital cellulitis Inferior oblique myectomy vs recession | no estimate extracted | 1 study · 23 participants | Ungraded |
Inferior oblique disinsertion versus anterior transposition for vertical strabismus in superior oblique palsy
Population: people with unilateral superior oblique palsy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Proportion of participants with postoperative surgical success (hypertropia less than 3 PD in primary gaze) Inferior oblique disinsertion vs anterior transposition | no estimate extracted | 1 study · 22 participants | Moderate |
Proportion of participants with anomalous head position preoperatively with residual head tilt postoperatively Inferior oblique disinsertion vs anterior transposition | RR 7 [0.4, 121.39] | 1 study · 22 participants | Very low |
Proportion of participants with postoperative hypertropia less than 3 PD in down gaze Inferior oblique disinsertion vs anterior transposition | no estimate extracted | 1 study · 22 participants | Ungraded |
Proportion of participants with postoperative hypertropia less than 3 PD in contralateral gaze Inferior oblique disinsertion vs anterior transposition | no estimate extracted | 1 study · 22 participants | Moderate |
Proportion of participants who received additional strabismus surgery Inferior oblique disinsertion vs anterior transposition | RR 7 [0.4, 121.39] | 1 study · 22 participants | Very low |
Proportion of participants with reversal of vertical deviation postoperatively Inferior oblique disinsertion vs anterior transposition | no estimate extracted | 1 study · 22 participants | Ungraded |
Proportion of participants with postoperative orbital cellulitis Inferior oblique disinsertion vs anterior transposition | no estimate extracted | 1 study · 22 participants | Ungraded |