Research Article

Characteristics of Facial Asymmetry in Congenital Superior Oblique Palsy according to Trochlear Nerve Absence

Table 1

Clinical characteristics of congenital superior oblique palsy patients with the absence of a trochlear nerve (absent group) and the presence of a trochlear nerve (present group) compared with controls.

Absent group (n = 173)Present group (n = 114)Control (n = 82) value

Age at examination21.7 ± 22.822.8 ± 20.116.9 ± 17.30.122a
Male gender101 (58%)68 (60%)45 (55%)0.792c
Cycloplegic refractive errors (D)−0.23 ± 2.03−0.57 ± 2.52−0.37 ± 2.670.488a
Anisometropia >1.50 (D)9 (5%)10 (9%)11(13%)0.080c
Amblyopia15 (9%)2 (2%)6 (7%)0.054c
Horizontal strabismus86 (50%)67 (59%)69 (84%)<0.001a
 Exotropia80/86 (93%)57/67 (85%)52/69 (75%)
 Esotropia6/86 (7%)10/67 (15%)17/69 (25%)
Unilateral SOP171 (99%)114 (100%)0.255c
 Right91 (53%)52 (46%)0.235c
Early onset of head tiltd70 (41%)28 (25%)0.005b
Hypertropia (PD)14.2±8.610.3±6.8<0.001c

y = years; D = diopters; SOP = superior oblique palsy; PD = prism diopters; significant factors are expressed in bold characters; a value by one-way ANOVA; b value by the independent t-test; c value by the Pearson chi-square test; dpatients who had reliable data at the time of onset of definite head tilt before 1 year of age.