An approach to the surgical management of total oculomotor nerve palsy

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dc.contributor.authorKöse S.
dc.contributor.authorÜretmen Ö.
dc.contributor.authorPamukçu K.
dc.date.accessioned2019-10-27T00:25:10Z
dc.date.available2019-10-27T00:25:10Z
dc.date.issued2001
dc.departmentEge Üniversitesien_US
dc.description.abstractThe goal of the procedure was to keep the eyes of patients with total oculomotor palsy in the straight ahead position by means of surgery on the horizontal and inferior rectus muscles in one session, without involving the superior oblique muscles. Six patients underwent surgery for total oculomotor nerve palsy. All of the surgical procedures were carried out on the muscles of the paralytic eye. We performed hemi-hangback recession of the lateral rectus and resection of the medial rectus for exotropia in all patients. Depending on the magnitude of vertical deviation, the insertions of the horizontal rectus muscles were moved upward, alone or in combination with hemi-hangback recession of the inferior rectus. The mean preoperative horizontal deviation was 66.6 PD. Two years after the operation, the horizontal deviation was measured to be 11.6 PD. Similarly, the mean preoperative vertical deviation of 16 PD decreased to 6.6 PD in two years. This procedure did not disturb normally functioning superior oblique and lateral rectus muscles. Subjectively, all of the patients were satisfied with their alignment two years after the operation. We are of the opinion that this technique is a safe, simple and effective procedure and can be regarded as a first-choice operation in total oculomotor palsy. If one fails to maintain the eye position with this procedure, one can still perform a second operation on the superior oblique muscle, which remains untouched in our procedure.en_US
dc.identifier.doi10.1076/stra.9.1.1.712en_US
dc.identifier.endpage8en_US
dc.identifier.issn0927-3972
dc.identifier.issue1en_US
dc.identifier.pmid11262694en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://doi.org/10.1076/stra.9.1.1.712
dc.identifier.urihttps://hdl.handle.net/11454/23203
dc.identifier.volume9en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.relation.ispartofStrabismusen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHemi-hangback techniqueen_US
dc.subjectOculomotor nerve palsyen_US
dc.subjectSurgical treatmenten_US
dc.titleAn approach to the surgical management of total oculomotor nerve palsyen_US
dc.typeArticleen_US

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