RT Journal Article
SR Electronic
T1 Full tendon medial transposition of lateral rectus with augmentation sutures in cases of complete third nerve palsy
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 715
OP 717
DO 10.1136/bjophthalmol-2017-311376
VO 102
IS 6
A1 Rohit Saxena
A1 Medha Sharma
A1 Digvijay Singh
A1 Pradeep Sharma
YR 2018
UL http://bjo.bmj.com/content/102/6/715.abstract
AB 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.