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The inferior oblique muscle or obliquus oculi inferior is a thin, narrow muscle placed near the anterior margin of the floor of the orbit. The inferior oblique is one of the extraocular muscles , and is attached to the maxillary bone (origin) and the posterior, inferior, lateral surface of the eye (insertion).
The physiologic basis of the head tilt test was explained by Alfred Bielschowsky and Hofmann [8] in 1935. [9] However, Nagel described it 30 years prior to Bielschowsky when he noted that the combined action of the superior rectus muscle and the superior oblique muscle of one eye and of the inferior rectus and inferior oblique muscles in the fellow eye causes incycloduction and excycloduction ...
Hypertropia may be either congenital or acquired, and misalignment is due to imbalance in extraocular muscle function. The superior rectus, inferior rectus, superior oblique, and inferior oblique muscles affect the vertical movement of the eyes.
DVD can be revealed on ocular movement testing when one eye is occluded by the nose on lateral gaze. This eye will then elevate, simulating an inferior oblique over action. However, in a unilateral case, overaction of the superior rectus muscle in the unaffected dominant eye, can also be a causing factor as well as causing a V pattern exophoria.
In these cases the main problem is that the inferior oblique muscle of the same eye acts unopposed by the weakened superior oblique muscle, pulling the eye up. An example of a safe and effective procedure is a disinsertion of the inferior oblique muscle to allow it to reattach itself further down the globe of the eye.
The New York Mets placed pitcher Max Scherzer on the 15-day injured list on Wednesday with what the club described as “left oblique irritation.” The move is retroactive to Sept. 4, the day ...
The last muscle is the inferior oblique, which originates at the lower front of the nasal orbital wall, passes inferiorly over the inferior rectus muscle on its path laterally and posteriorly, and inserts under the lateral rectus muscle on the lateral, posterior part of the globe. Thus, the inferior oblique pulls the eye upward and laterally.
The inferior oblique is weakened through a recession and anteriorization where the muscle is detached from the eye and reinserted at a spot anterior to the original insertion. [4] Some surgeons will alternatively perform a myotomy or myectomy, where a muscle is either cut or has a portion of it removed, respectively. [ 4 ]