Superior Oblique Anterior Transposition with Horizontal Recti Recession-Resection for Total Third-Nerve Palsy
Joint Authors
Eraslan, Muhsin
Cerman, Eren
Onal, Sumru
Ogut, Mehdi Suha
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-11
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
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, 14–45 years) were included.
The median preoperative horizontal deviation was 67.5 Prism Diopter (PD) (interquartile range [IQR] 57.5–70) and vertical deviation was 13.5 PD (IQR 10–20).
The median postoperative horizontal residual exodeviation was 8.0 PD (IQR 1–16), and the vertical deviation was 0 PD (IQR 0–4).
The median correction of hypotropia following superior oblique transposition was 13.5 ± 2.9 PD (range, 10–16).
All cases were vertically aligned within 5 PD.
Four of the six cases were aligned within 10 PD 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.
American Psychological Association (APA)
Eraslan, Muhsin& Cerman, Eren& Onal, Sumru& Ogut, Mehdi Suha. 2015. Superior Oblique Anterior Transposition with Horizontal Recti Recession-Resection for Total Third-Nerve Palsy. Journal of Ophthalmology،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1069837
Modern Language Association (MLA)
Eraslan, Muhsin…[et al.]. Superior Oblique Anterior Transposition with Horizontal Recti Recession-Resection for Total Third-Nerve Palsy. Journal of Ophthalmology No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1069837
American Medical Association (AMA)
Eraslan, Muhsin& Cerman, Eren& Onal, Sumru& Ogut, Mehdi Suha. Superior Oblique Anterior Transposition with Horizontal Recti Recession-Resection for Total Third-Nerve Palsy. Journal of Ophthalmology. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1069837
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1069837