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Innovations
Full tendon medial transposition of lateral rectus with augmentation sutures in cases of complete third nerve palsy
  1. Rohit Saxena1,
  2. Medha Sharma1,
  3. Digvijay Singh2,
  4. Pradeep Sharma1
  1. 1 Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  2. 2 Paediatric Ophthalmology and Strabismus Service, Noble Eye Care, Gurgaon, Haryana, India
  1. Correspondence to Dr Rohit Saxena, R.P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110029, India; rohitsaxena80{at}yahoo.com

Abstract

Management options in third nerve palsy are limited as four of the six extraocular muscles are involved. Surgery has to be tailored on a case-to-case basis. Aim of this retrospective case series is to report 1-year outcomes of a modified surgical technique entailing full tendon transposition of lateral rectus to medial rectus augmented with posterior fixation sutures in four patients with complete third nerve palsy. All four cases showed significant improvement of vertical and horizontal deviation with long-term stability of correction. Choice of route of full tendon augmented transposition of lateral rectus to medial rectus can aid in achieving good correction of the vertical misalignment in addition to horizontal correction.

  • treatment surgery
  • muscles

https://doi.org/10.1136/bjophthalmol-2017-311376

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    Footnotes

    • Contributors RS: surgeon, manuscript preparation. MS, DS, PS: data collection, analysis and manuscript preparation.

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Ethics approval Ethics committee - All India Institute of Medical Sciences.

    • Provenance and peer review Not commissioned; externally peer reviewed.