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Title

Additional Loop suspension over anteroposition or recession of the inferior oblique muscle to resolve vertical incomitence in V pattern strabismus.

Purpose	The current techniques to correct the V pattern strabismus remain unsatisfactory when the inferior oblique overaction (IOOA) is significant. We share a novel technique to resolve vertical incomitence by adding a loop suspension to either anteriortransposition or recession of the inferior oblique muscle, in order to correct vertical incomitnece while avoiding recession of the contralateral inferior rectus.
Methods	We present patients with asymetrical lateral gaze incomitences .The IOOA was quantified by measuring the amount of hypertropia in lateral gaze. The surgical technique consisted of a 5 mm loop suspension to the recession or the anteriortransposition of the inferior oblique muscle on the side where the upshoot is more important, compared to the classic recession or anteriortransposition to the other eye, when necessary.
Results	The patient satisfaction was ranked high at 6 months postoperatively. No complications were reported in this series.
Conclusion	The additional 5 mm loop Suspension to either the anteriortransposition or recession of the inferior oblique muscle in V pattern Strabismus is a reliable technique to weaken the IOOA. It insures a satisfactory result with a considerable gain on lateral gaze, circumventing surgery to the other muscles. It has nonetheless little benefits for primary gaze with a net gain of only 0 to 2 degrees

Authors 1

Last name	SELLIER
Initials	J
Department	CHU Saint-Pierre
City	Bruxelles

Authors 2

Last name	Putteman
Initials	A
Department	CHU Saint Pierre
City	Bruxelles

Authors 3

Last name	Van Daele
Initials	O
Department	CHU Saint Pierre
City	Bruxelles