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ABS TRACT Objective: To evaluate the success of the surgical procedure and investigate the impact of inferior oblique muscle traction on macula. To this end, evaluation of the possible macular changes by optical coherence tomography (OCT) due to disinsertion+distal muscle resection + tucking method used in inferior oblique muscle weakening procedure is planned. Material and Methods: 27 eyes of 20 patients who underwent surgery of inferior oblique muscle weakening procedure in the Akdeniz University Faculty of Medicine were included in this prospective study. The success rate of the procedure and complications were analyzed. In all cases, OCT examination was performed preoperatively and also postoperative second day, first week, first month, 3 months later and 6 months later and these results were evaluated. Results: 27 eyes of 20 cases were examined. The mean age at the time of presentation was 10.65±5.9 years (range 5-27). 11 (55%) cases had primary inferior oblique muscle overaction and 9 (45%) cases had secondary inferior oblique muscle overaction. Success rate of operation was 77.8%. There were no statistically significant differences between preoperative and postoperative (at the end of 2nd day, 1st week, 1st month, 3rd month and 6th month) macular thickness measurements. Conclusion: We have concluded that the inferior oblique muscle disinsertion + distal muscle resection and tucking process is a safe, simple and effective procedure which doesn’t cause any morphological damage of the macula in patients with inferior oblique muscle overaction.

Evaluation of the Effects of Inferior Oblique MuscleWeakening Surgery on Macula by Optical Coherence Tomography