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J Pediatr Ophthalmol Strabismus. 2000 Sep-Oct;37(5):260-5.

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

Author information

1
Asociación para Evitar la Ceguera en México, Mexico City.

Abstract

PURPOSE:

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.

METHODS:

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.

RESULTS:

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.

CONCLUSION:

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.

PMID:
11020106
[Indexed for MEDLINE]

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