The superior oblique muscle loops through a pulley-like structure (the trochlea of superior oblique) and inserts into the sclera on the posterotemporal surface of the eyeball.
The tendon is reflected caudally, laterally, and inferiorly beneath the superior rectus to the lateral part of the bulb of the eye, and is inserted onto the scleral surface, behind the equator of the eyeball, the insertion of the muscle lying between the superior rectus and lateral rectus.