Surgical treatment of paralysis of the inferior division of the oculomotor nerve.

Burton Kushner // Publications // Apr 01 1999

PubMed ID: 10206576

Author(s): Kushner BJ. Surgical treatment of paralysis of the inferior division of the oculomotor nerve. Arch Ophthalmol. 1999 Apr;117(4):485-9. PMID 10206576

Journal: Archives Of Ophthalmology (Chicago, Ill. : 1960), Volume 117, Issue 4, Apr 1999

BACKGROUND Paralysis of the inferior division of the oculomotor nerve is relatively rare. Little has been written about its surgical treatment.

METHODS Five patients with paralysis of the inferior division of the oculomotor nerve were treated with transposition of the superior rectus muscle toward the insertion of the medial rectus muscle, transposition of the lateral rectus muscle toward the insertion of the inferior rectus muscle, and tenotomy of the superior oblique tendon in the affected eye.

RESULTS All 5 patients had a satisfactory outcome. They were free of diplopia in the primary position as of their last examination. Follow-up ranged from 3 to 10 years after surgery.

CONCLUSION Paralysis of the inferior division of the oculomotor nerve can be adequately treated by simultaneous transposition of the superior rectus muscle toward the insertion of the medial rectus muscle, transposition of the lateral rectus muscle toward the insertion of the inferior rectus muscle, and tenotomy of the superior oblique tendon in the affected eye.