Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 7194
  • Home
  • Print this page
  • Email this page
BRIEF COMMUNICATION
Year : 2017  |  Volume : 65  |  Issue : 10  |  Page : 1058-1061

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


1 Department of Ophthalmology, Binh Dinh Eye Hospital, Hai Cang District, Qui Nhon, Vietnam
2 Department of Pediatric Ophthalmology and Strabismus, Dr. Shroff's Charity Eye Hospital, New Delhi, India

Correspondence Address:
Shailja Tibrewal
Dr. Shroff's Charity Eye Hospital, 5027, Kedar Nath Road, Daryaganj, New Delhi - 110 002
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_320_17

Rights and Permissions

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-old male who developed isolated complete third nerve palsy of the left eye following head trauma. Features of aberrant regeneration were seen after 6 months, namely, inverse Duane's sign and Pseudo-Von Graefe's sign. He underwent recess-resect procedure in the unaffected eye with adjustable suture technique which not only corrected the deviation but also the ptosis by utilizing the oculomotor synkinesis. Thus, contralateral eye surgery combined with adjustable suture technique resulted in an accurate alignment of the eye and obviated the need for ptosis correction.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1398    
    Printed13    
    Emailed0    
    PDF Downloaded192    
    Comments [Add]    

Recommend this journal