An alternative procedure is presented. The technique, which will be described, involves splicing the tendon in a controlled manner. The technique is simple, its effects are largely predictable, and it involves the introduction of no foreign material apart from sutures. The author has performed the procedure, frequently with resident participation, on over 250 patients over the past 20 years. It can be performed very rapidly even by a surgeon in training.
Quantification is straightforward.
If reoperation should be needed, the method allows the tendon to be located with relative ease and a further procedure can be performed, including further lengthening or shortening. A simple operation is described that has been used for many years and which offers an improved alternative to the most commonly used techniques for superior oblique weakening. Please send comments and suggestions. You may also attach electronic files to e-mail.