ABSTRACT
ABSTRACT: Purpose: To assess the effectiveness of horizontal muscle surgery in association with adducting traction suture in the management of complete oculomotor nerve palsy. Methods: Large recession of the lateral rectus muscle with hemi-hangback suture, large resection of the medial rectus muscle and adducting traction suture were applied to all patients. For vertical deviation, insertions of the medial and lateral rectus muscles were transposed superiorly. The resultant deviation at primary position was evaluated. Results: Five patients with a median age of 12 years (6-25 years) were evaluated. The median preoperative horizontal deviation was 65 prism diopters (PD), and vertical deviation was 10 PD. At the last visit, median horizontal deviation was 10 PD, and vertical deviation was 4 PD. Conclusion: Large recession with loop suture and resection of horizontal muscles combined with adducting traction sutures is a safe and effective procedure in the management of complete oculomotor nerve palsy.
