title: Outcome of surgery for bilateral third nerve palsy.
abstract: OBJECTIVE
  To review the outcome of surgery for bilateral third nerve palsy.
  
  
  METHODS
  The series comprised 16 cases. The eye deviation in the primary position averaged -27.0 degrees horizontally. Surgery was aimed at bringing both eyes into alignment in the primary position by recession-resection of horizontal muscles. Transposition of the superior oblique was performed for complete third nerve palsy. Surgery was initially performed on the nonfixating eye. The fellow eye underwent further surgery for residual disorders.
  
  
  RESULTS
  Within 6 months after surgery, the eye deviation in the primary position averaged -0.7 degrees horizontally. After longer follow-up, the eye deviation averaged -4.7 degrees horizontally. Postoperatively, diplopia in the primary position was absent in 11 and remained in 5 cases.
  
  
  CONCLUSIONS
  Surgery for bilateral third nerve paresis or palsy achieved lasting cosmetic or functional improvements in the majority of cases.
authors.affiliation: Department of Ophthalmology, Teikyo University School of Medicine, Tokyo, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Aoki
authors.forename: Tatsushi
authors.initials: T
authors.lastname: Sakaue
authors.forename: Nobue
authors.initials: N
authors.lastname: Kubota
authors.forename: Toshio
authors.initials: T
authors.lastname: Maruo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004172:Diplopia / Q000209:etiology; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D009886:Ophthalmoplegia / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome