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eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
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3/2020
vol. 122
 
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abstract:
Case report

Medial transposition of a split lateral rectus muscle for complete oculomotor nerve palsy – a case study

Katarzyna Pelińska
1
,
Agata Joanna Ordon
1
,
Piotr Loba
1

  1. Department of Binocular Vision Pathophysiology and Strabismus, First Chair of Ophthalmology, Medical University of Lodz, Poland
KLINIKA OCZNA 2020, 122, 3:124 –127
Online publish date: 2020/09/09
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Complete oculomotor nerve palsy involves loss of function of as many as four out of six extraocular muscles, levator palpebrae superioris, and intraocular muscles, i.e. pupillary sphincter and ciliary muscle. Surgical treatment options are very limited as the superior oblique muscle and the lateral rectus muscle innervated by separate nerves are the only extraocular muscles whose function is not compromised. This article presents a case study of complete oculomotor nerve palsy following a neurosurgical procedure managed by medial transposition of the lateral rectus muscle with very satisfying outcomes.
keywords:

third nerve palsy, paralytic strabismus, Y transposition of lateral rectus muscle

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