Results following surgical management of oculomotor nerve palsy with a modified Knapp procedure.
Thirteen patients with oculomotor nerve palsy had their strabismus managed with a recess/resect procedure on the horizontal recti of the affected eye. A simultaneous graded supraplacement of both horizontal recti in the affected eye was used to manage the hypotropia in 9 of 11 patients with unilateral palsies. If some medial rectus function exists, correction of III nerve palsy is best achieved with a recess/resect procedure with supraplacement of the horizontal recti, 1 mm for each 2 prism diopters of hypotropia in primary position. Eight of 13 patients required additional procedures. Four of 13 patients did achieve high levels of binocular function.
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D008722:Methods; D009801:Oculomotor Muscles / Q000601:surgery*; D009886:Ophthalmoplegia / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D013285:Strabismus / Q000601:surgery; D013997:Time Factors