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Simplified approach of Gokyigit's technique for complete cranial nerve third palsy
Ebru Demet Aygit1, Asli İnal2, O Bulut Ocak2
1Beyoglu Eye Training and Research Hospital, University of Health Sciences, Bereketzade Cami Sokak No: 2 Beyoglu, Istanbul, Turkey. ebrudemet@hotmail.com.
Purpose:
To evaluate a simpler approach of the medial transposition of split lateral rectus technique in patients with complete third nerve palsy.
Methods:
All eyes with complet third nerve palsy were followed in our Strabismus Department between 2014 and 2016. All patients had complete oculamotor nerve palsy. All patients assed routine ophthalmologic examination. Also the ocular deviation, horizontal and vertical ocular alignments were measured at 6 m and at 1/3 m using the Krimsky corneal reflection test and alternate prism cover test with best optical correction. Same surgeon (BG) performed all procedures in general anesthesia. In this procedure, same Gokyigit's technique except upper and lower part of lateral rectus muscle was passed under the superior oblique tendon and inferior oblique tendon. Final deviation from 0 to 14 PD was considered a successful result.
Results:
Eight patients were included in the study. The average ages were 39.4 years and male to female ratio 5:3. Patients had a preoperative horizontal deviation - 42.5 ± 2.7 PD and postoperative horizontal deviation - 1.7 ± 2.6 PD. All patients follow-up time were at least 6 months.
Conclusions:
Achieved to acceptable alignment in primary position, manage to diplopia and cosmetical appearance are the main aims of patients with third nerve palsy.