title: Surgical management of chronic complete sixth nerve palsy.
abstract: OBJECTIVE
  to evaluate the results of strabismus surgery in patients with chronic complete sixth nerve palsy.
  
  
  METHODS
  the patients with negative traction test underwent full tendon vertical rectus muscle transposition, whereas the patients with positive traction test had medial rectus recession and transposition surgery. Traction sutures were used in patients with deviations greater than 65 prism diopters (PD) in addition to medial rectus recession.
  
  
  RESULTS
  the mean age of 6 female (35.3%) and 11 male (64.7%) patients was 45.1 ± 20.5 years (range: 13 to 80 years). The average preoperative and postoperative deviations at the primary position were 64.1 ± 14.3 PD (range: 45 to 85 PD) and 9.6 ± 17.6 PD (range: 0 to 75 PD), respectively, with an overall success rate of 76.5%.
  
  
  CONCLUSIONS
  most of the patients with chronic sixth nerve palsy could achieve good ocular alignment with a surgical approach that is tailored according to the needs of the individual patient.
authors.affiliation: Department of Ophthalmology, Izmir Atatürk Education and Research Hospital, Izmir, Turkey. nsef@yahoo.com
authors.forename: Nazife Sefi
authors.initials: NS
authors.lastname: Yurdakul
authors.forename: Seyda
authors.initials: S
authors.lastname: Ugurlu
authors.forename: Ahmet
authors.initials: A
authors.lastname: Maden
mesh_terms: D020434:Abducens Nerve Diseases / Q000503:physiopathology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D004948:Esotropia / Q000503:physiopathology / Q000601:surgery*; D005133:Eye Movements / Q000502:physiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D013536:Suture Techniques; D013709:Tendon Transfer; D013710:Tendons / Q000637:transplantation; D015348:Vision, Binocular / Q000502:physiology; D055815:Young Adult