2 research outputs found
Superior Oblique Anterior Transposition with Horizontal Recti Recession-Resection for Total Third-Nerve Palsy
Aims. To report the results of lateral rectus muscle recession, medial rectus muscle resection, and superior oblique muscle transposition in the restoration and maintenance of ocular alignment in primary position for patients with total third-nerve palsy. Methods. The medical records of patients who underwent surgery between March 2007 and September 2011 for total third-nerve palsy were reviewed. All patients underwent a preoperative assessment, including a detailed ophthalmologic examination. Results. A total of 6 patients (age range, 14β45 years) were included. The median preoperative horizontal deviation was 67.5 Prism Diopter (PD) (interquartile range [IQR] 57.5β70) and vertical deviation was 13.5 PD (IQR 10β20). The median postoperative horizontal residual exodeviation was 8.0 PD (IQR 1β16), and the vertical deviation was 0 PD (IQR 0β4). The median correction of hypotropia following superior oblique transposition was 13.5 Β± 2.9 PD (range, 10β16). All cases were vertically aligned within 5βPD. Four of the six cases were aligned within 10βPD of the horizontal deviation. Adduction and head posture were improved in all patients. All patients gained new area of binocular single vision in the primary position after the operation. Conclusion. Lateral rectus recession, medial rectus resection, and superior oblique transposition may be used to achieve satisfactory cosmetic and functional results in total third-nerve palsy