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Purpose: To investigate the ocular torsion of V patterns.Methods:Twenty-two in hospital V patterns patients underwent bilateral inferior obliquemuscles myectomy for inferior oblique overacting and hortizon recti underwent recessresection procedure to correct hortizon devation. Objective cycloposition was assessed by fundus photograph before and 7 days after surgery in all cases. The photographs was stored in computer, and the disc-fovea angle was measured by means of drawing picture software. As well as the deviation, oblique muscle function was recorded before and after surgery.Result: Seventeen cases were bilateral ocular excyclotropia, 4 cases were monocular excyclotropia and one case was normal.The disc-fovea angle of right eyes and left eyes before operation is 15.67°+5.72° and 16.59°+6.69°.The comparisons among V patterns and normal average showed significant differences ( P ＜ 0.001). The disc-fovea angle of right eyes and left eyes after operation is 5.24°+5.87° and 7.17°+5.40°. There is no statistic difference between normal average( P ＞ 0.5).The deviation between up-and down 25° is 23.1+6.8 before surgery, as well as the one is 2.0±2.25 one week postoperatively.All cases have bilateral inferior oblique overaction, and diminished but one case still has unilateral moderate overaction 7 days after surgery.Conclusion:There is objective cyclotropia in case of V patterns, and the objective torsion is normal after weakening overacted inferior oblique muscles.