Inferior rectus transposition as a secondary surgery in patients with acquired abducens nerve palsy

Giulia Marchione; Scott R Lambert

doi:10.1016/j.jaapos.2023.03.002

Inferior rectus transposition as a secondary surgery in patients with acquired abducens nerve palsy

J AAPOS. 2023 Jun;27(3):170-172. doi: 10.1016/j.jaapos.2023.03.002. Epub 2023 Apr 11.

Authors

Giulia Marchione¹, Scott R Lambert²

Affiliations

¹ Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California.
² Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California. Electronic address: lambert7@stanford.edu.

Abstract

We report the outcomes in 2 patients with acquired abducens nerve palsy with residual esotropia following superior rectus transposition and medial rectus recession who subsequently underwent inferior rectus transposition as a second procedure. Both patients showed improved abduction and reduced esotropia, with no induced cyclotorsion or vertical deviation. Inferior rectus transposition as a secondary procedure in these 2 patients with abducens nerve palsy appeared to augment the effect of prior superior rectus transposition and medial rectus recession.

Publication types

Case Reports
Research Support, N.I.H., Extramural

MeSH terms

Abducens Nerve Diseases* / etiology
Abducens Nerve Diseases* / surgery
Esotropia* / etiology
Esotropia* / surgery
Humans
Oculomotor Muscles / surgery

Grants and funding

P30 EY026877/EY/NEI NIH HHS/United States