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J AAPOS. 2015 Oct;19(5):465-8. doi: 10.1016/j.jaapos.2015.06.008.

Medial rectus muscle anchoring in complete oculomotor nerve palsy.

Author information

1
Department of Ophthalmology, Soonchunhyang University College of Medicine, Bucheon Hospital, Korea.
2
Department of Ophthalmology, Soonchunhyang University College of Medicine, Bucheon Hospital, Korea. Electronic address: jhchang@schmc.ac.kr.

Abstract

The management of exotropia resulting from complete oculomotor nerve palsy is challenging. Conventional therapeutic interventions, including supramaximal resection and recession, superior oblique tendon resection and transposition, and several ocular anchoring procedures have yielded less-than-adequate results. Here we describe a novel surgical technique of anchoring the medial rectus muscle to the medial orbital wall in combination with lateral rectus disinsertion and reattachment to the lateral orbital wall.

PMID:
26486032
DOI:
10.1016/j.jaapos.2015.06.008
[Indexed for MEDLINE]

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