Objectives: To investigate the results of different surgical techniques for treating cases of dissociated vertical deviation (DVD). Ma te ri als and Met hods: A retrospective review of medical records was performed, including 94 eyes of 47 patients who had undergone bilateral superior rectus (SR) recessions (Group 1), bilateral SR recession with posterior fixation sutures (Group 2), or bilateral inferior oblique (IO) anterior transposition surgery (Group 3) for treatment of DVD. Nineteen patients underwent secondary procedures (SR weakening or IO anterior transposition) because of unsatisfactory results. The amount of the DVD in primary position before and after surgery, postoperative success ratios, and probable complications were evaluated. The Wilcoxon signed ranks test and chi-squared test were used for statistical evaluations. Results: In 69% of the 32 eyes in group 1, 65% of the 20 eyes in group 2, and 79% of the 42 eyes in group 3, satisfactory control of the DVD in primary position was achieved. All eyes undergoing both SR weakening and IO anterior transposition had a residual DVD of less than 5 prism diopters (pd). Of the total of 94 eyes, in 26 (89.6%) of 29 eyes that had a preoperative DVD angle of more than 15 pd [ten eyes from group 1, seven eyes from group 2, and nine eyes from group 3], the residual DVD angle after surgery was more than 5 pd. However, in the 65 eyes with preoperative DVD of 15 pd or less (21from Group 1, 12 from Group 2, and 32 from Group 3), the residual DVD angle after the operation was less than 5 pd. Two eyes of 2 patients had -1 limitation to elevation after surgery. Conclusion: Only IO anterior transposition or SR weakening surgery appear to be a successful surgical approaches in the management of patients with mild-and moderate-angle (≤15 pd) DVD. Weakening both the SR and IO muscles yield a greater success in the management of patients with large-angle (>15 pd) DVD. (Turk J Ophthalmol 2014; 44: 132-7) Summary Amaç: Disosiye vertikal deviasyon(DVD) olgularının tedavisinde, farklı cerrahi tekniklerin sonuçlarını araştırmak. Ge reç ve Yön tem: DVD'nin tedavisi için bilateral superior rektus (SR) geriletmesi (Grup 1), posterior fiksasyon süturlu bilateral SR geriletmesi (Grup 2) veya bilateral inferior oblik (IO) anterior transpozisyonu (Grup 3) cerrahilerine maruz kalan 47 hastanın 94 gözünü içeren medikal kartlar geriye dönük olarak gözden geçirildi. On dokuz hasta başarısız sonuçlar nedeniyle sekonder cerrahiye (SR zayıflatma yada IO anterior transpozisyon) maruz kalmıştı. Cerrahiler öncesi ve sonrası primer pozisyondaki DVD'un miktarı, postoperatif başarı oranları ve olası komplikasyonlar değerlendirildi. İstatistiksel değerlendirmelerde Wilcoxon eşleştirilmiş iki örnek testi ve ki-kare testi kullanıldı. Bulgular: SR geriletmesi sonrası 32 gözün %69'u, posterior fiksasyon süturlu SR geriletmesi sonrası 20 gözün %65'i, IO anterior transpozisyon cerrahisi sonrası 42 gözün %79'unda primer pozisyondaki DVD'nin başarılı kontrolü sağlandı. SR zayıflatması ve IO anterior transpozi...