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Related Experiment Video

Updated: Jul 20, 2026

Three-Dimensional Reconstruction of Orbital Fractures

Three-Dimensional Reconstruction of Orbital Fractures

Published on: May 16, 2025

Periosteal fixation in third-nerve palsy.

Pradeep Sharma¹, Madhurjya Gogoi, Sachin Kedar

¹Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. drpsharma57@yahoo.com

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus

|August 29, 2006

Summary

A novel surgical technique anchors the eyeball to nasal periosteum using nonabsorbable sutures for acquired third-nerve paresis, achieving satisfactory ocular alignment.

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Area of Science:

Ophthalmology
Surgical Techniques
Neuro-ophthalmology

Background:

Acquired isolated third-nerve paresis can lead to significant ocular misalignment.
Current management strategies may have limitations.

Purpose of the Study:

To introduce and evaluate a new surgical technique for treating acquired isolated third-nerve paresis.
To anchor the eyeball to the nasal periosteum using a nonabsorbable suture.

Main Methods:

A case series of 4 adult patients with isolated third-nerve paresis.
Involved lateral rectus muscle recession followed by periosteal anchoring with a nonabsorbable polyester suture.
Suture placement aimed to achieve an 8-10 prism diopter adducted eye position.

Main Results:

Satisfactory ocular alignment in primary gaze was achieved in all patients.
Follow-up ranged from 6 to 12 months, demonstrating sustained alignment.

Conclusions:

Anchoring the globe to the nasal periosteum with a nonabsorbable polyester suture is a promising technique.
This method offers a viable option for correcting ocular alignment in primary gaze for patients with third-nerve paresis.