Strategies for managing strabismus from oculomotor nerve palsy

Yahalom, Claudia; Hunter, David G.; Dagi, Linda R.

doi:10.1016/j.jaapos.2022.11.017

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2024

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Cited by 3 publications

References 24 publications

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Diagnostik bei Diplopie

Lischka

2024

Springer Reference Medizin

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Diagnostik bei Diplopie

Lischka

2024

Springer Reference Medizin

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Combined recession-resection in the management of paralytic strabismus: simplification of the complex (a case report)

Loebis,

Rifqi

2024

Pan Afr Med J

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Oculomotor nerve palsy presents the greatest challenge in clinical treatment among the other cranial nerves that innervate extraocular muscle. With a complex technique of periosteal fixation using Callahan suture commonly used, a simpler and more effective technique is demanded to be proven. Here we present a case of paralytic exotropia due to oculomotor nerve palsy on a 32-year-old male along with evidence supporting our decision of surgical management. A 32-year-old male with a chief complaint of squint in both eyes was examined at an outpatient eye clinic. The patient had congenital isolated partial oculomotor nerve palsy and the examination revealed severe ptosis on both eyes with 40 prism diopter exotropia and no limitation in the forced duction test. The patient's posterior segment examination showed normal results, and a diagnosis of bilateral paralytic exotropia due to isolated partial oculomotor nerve palsy was considered. The patient underwent a 7.5 mm rectus lateral recession with a 6 mm rectus medial resection on his right eye, with a promising result after a 3-week follow-up. When treating paralytic strabismus resulting from isolated oculomotor nerve palsy, a combination of medial rectus resection and lateral rectus recession yields good results and long-term stability.

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Full-tendon inferior nasal transposition of the lateral rectus muscle for partial third nerve palsy

Budragchaa,

Liu

2024

Taiwan Journal of Ophthalmology

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Managing third nerve palsy clinically can be challenging because it involves four of the six extraocular muscles. The palsy may be partial or complete, may cause partial or complete ptosis, and may spare or involve the pupil. A 25-year-old female with a history of suprasellar schwannoma had left partial third nerve palsy with 80 prism diopter (PD) exotropia and 20 PD hypertropia. In addition, adduction and infraduction of the left eye were limited. To address this, a lateral rectus (LR) muscle transposition procedure was performed, wherein the muscle was transposed between the inferior rectus muscle and the globe, passing behind the inferior oblique muscle and extending to the lower margin of the medial rectus (MR) muscle. Postoperatively, this procedure corrected the exotropia of 50–60 PD and hypertropia of 20 PD without inducing cyclotropia. Full-tendon transposition of the LR to the MR is a simple and effective procedure for managing partial third nerve palsy.

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Strategies for managing strabismus from oculomotor nerve palsy

Cited by 3 publications

References 24 publications

Diagnostik bei Diplopie

Diagnostik bei Diplopie

Combined recession-resection in the management of paralytic strabismus: simplification of the complex (a case report)

Full-tendon inferior nasal transposition of the lateral rectus muscle for partial third nerve palsy

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