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Surgical management of superior oblique palsy (SOP) is challenging because of combined vertical, horizontal, and torsional misalignment. The authors report the surgical results of patients with large primary position hypertropias (&gt; 20 prism diopters [PD]) due to unilateral SOP.

Surgical Results of Patients With Unilateral Superior Oblique Palsy Presenting With Large Hypertropias