Ocular fixation to nasal periosteum with a superior oblique tendon in patients with third nerve palsy

To report a new surgical approach that uses ocular fixation to the nasal periosteum with superior oblique tendon for patients with complete third nerve palsy. Prospective study of 15 patients with complete third nerve palsy who underwent surgery using a superior oblique tenectomy and ocular fixation...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of pediatric ophthalmology and strabismus Vol. 37; no. 5; p. 260
Main Authors:	Villaseñor Solares, J, Riemann, B I, Romanelli Zuazo, A C, Riemann, C D
Format:	Journal Article
Language:	English
Published:	United States 01-09-2000
Subjects:	Adolescent Adult Aged Child Child, Preschool Diplopia - etiology Diplopia - physiopathology Diplopia - surgery Eye Movements - physiology Female Humans Male Middle Aged Nasal Septum - surgery Oculomotor Muscles - innervation Oculomotor Muscles - physiopathology Oculomotor Muscles - surgery Oculomotor Nerve Diseases - complications Oculomotor Nerve Diseases - physiopathology Oculomotor Nerve Diseases - surgery Periosteum - surgery Prospective Studies Tendon Transfer - methods
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	To report a new surgical approach that uses ocular fixation to the nasal periosteum with superior oblique tendon for patients with complete third nerve palsy. Prospective study of 15 patients with complete third nerve palsy who underwent surgery using a superior oblique tenectomy and ocular fixation to the nasal periosteum with the superior oblique tendon fragment. Eleven (73%) patients achieved good ocular alignment, 1 (7%) patient had a cosmetically acceptable result, and 3 (20%) patients had a cosmetically unacceptable result. Five (30%) patients had preoperative diplopia; all achieved resolution of their double vision in the primary position of gaze after surgery. Two patients without preoperative diplopia did not achieve good alignment and had diplopia postoperatively. Follow-up ranged from 8-41 months (mean: 19 months). No operative complications occurred. Ocular fixation to the nasal periosteum with superior oblique tendon is a safe, effective, and technically undemanding option for the surgical management of patients with complete third nerve palsy.
ISSN:	0191-3913