title: Extraorbital use of a disinserted superior oblique as a sling in third nerve palsy: a new single-stage surgical technique.
abstract: The management of third cranial nerve palsy is surgical. The usual technique is to correct alignment of the eyes in the first stage, followed by ptosis correction by a sling operation in the second stage. A new single-stage surgical technique involved the disinsertion of superior oblique muscle to bring the eye in a midline position. Simultaneously it is used extraorbitally as a sling to raise the ptotic upper eyelid. Postoperatively a fairly good cosmetic effect was achieved, but the upper eyelid showed a paradoxic aberrant elevation on eso-depression.
authors: Department of Ophthalmology, I. G. Medical College, Shimla, India.
authors: K P
authors: KP
authors: Chaudhary
mesh_terms: D000065:Accommodation, Ocular; D000293:Adolescent; D001763:Blepharoptosis / Q000601:surgery; D005403:Fixation, Ocular; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000601:surgery*; D015840:Oculomotor Nerve Diseases / Q000151:congenital / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods; D014792:Visual Acuity