Abstract
The inferior oblique muscle overaction (IOOA) results in eye elevation on adduction, head tilt, difficulty in reading/writing, and changing ocular alignments in different gazes. Surgical correction is the management. We present two cases of bilateral and one case of unilateral IOOA that resolved spontaneously, and surgery differed. There was no IOOA six months after diagnosis. A sustained resolution IOOA following correction of hyperopia, improvement of vision, and esotropia correction possibly leading to rebalancing and maturing of extraocular muscles. Ophthalmologists should refer all IOOA cases to strabismologists, should not hurry to operate, counsel parents, and monitor a child's ocular movements.