["Lateralis splitting" in total oculomotor paralysis with trochlear nerve paralysis]

Fortschr Ophthalmol. 1991;88(3):314-6.
[Article in German]


In two cases of 3rd nerve palsy and trochlear palsy we performed a new transposition procedure. This procedure consists of splitting of the lateral rectus muscle and transposition of the upper half to a retroequatorial point near the nasal superior vortex vein. The lower half is transposed to a retroequatorial point near the nasal inferior vortex vein. In the first case we linked the two halves with fascia late. The horizontal deviation was diminished by 15-20 degrees.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Exotropia / surgery
  • Humans
  • Male
  • Oculomotor Muscles / innervation
  • Oculomotor Muscles / surgery*
  • Oculomotor Nerve Diseases / surgery*
  • Ophthalmoplegia / surgery*
  • Trochlear Nerve / physiopathology*