Contralateral eye surgery with adjustable suture for management of third nerve palsy with aberrant regeneration

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Contralateral eye surgery with adjustable suture for management of third nerve palsy with aberrant regeneration

Aberrant regeneration of the third nerve following its palsy is commonly seen after trauma and compressive lesions. This phenomenon is thought to result due to misdirection of the regenerating axons. Surgical management is a great challenge in the third nerve palsy owing to multiple muscle involvement and is often accompanied by ptosis and poor Bell's phenomenon. We present a case of a 27-year-...

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ADJUSTABLE SUTURE IN STRABISMUS SURGERY

Adjustable suture in strabismus surgery is a way to get accurate alignment of the eyes after operation. This technique is used in cooperative patients, being either adults or children. We report the result of this technique in 120 patients, 70 with esotropia and 50 exotropia. The amount of deviation was between 20 and 60 prismdiopters. The patients were mostly adults and teenagers. and the...

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Aberrant regeneration of the third cranial nerve.

BACKGROUND Aberrant regeneration of the third cranial nerve is most commonly due to its damage by trauma. CASE A ten-month old child presented with the history of a fall from a four-storey building. She developed traumatic third nerve palsy and eventually the clinical features of aberrant regeneration of the third cranial nerve. The adduction of the eye improved over time. She was advised for...

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adjustable suture in strabismus surgery

adjustable suture in strabismus surgery is a way to get accurate alignment of the eyes after operation. this technique is used in cooperative patients, being either adults or children. we report the result of this technique in 120 patients, 70 with esotropia and 50 exotropia. the amount of deviation was between 20 and 60 prismdiopters. the patients were mostly adults and teenagers. and the youn...

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Surgical management of third nerve palsy

Third nerve paralysis has been known to be associated with a wide spectrum of presentation and other associated factors such as the presence of ptosis, pupillary involvement, amblyopia, aberrant regeneration, poor bell's phenomenon, superior oblique (SO) overaction, and lateral rectus (LR) contracture. Correction of strabismus due to third nerve palsy can be complex as four out of the six extra...

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ژورنال

عنوان ژورنال: Indian Journal of Ophthalmology

سال: 2017

ISSN: 0301-4738

DOI: 10.4103/ijo.ijo_320_17