Myectomy of Lateral Rectus Muscle for Third Nerve Palsy

To introduce myectomy of the lateral rectus muscle for correcting exotropia in patients with third nerve palsy. The lateral rectus muscle of the paretic eye was myectomized without suturing it to the globe. This was combined with a medial rectus muscle resection and a contralateral lateral rectus mu...

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Veröffentlicht in:Japanese journal of ophthalmology 2000-09, Vol.44 (5), p.555-558
Hauptverfasser: Sato, Miho, Maeda, Manami, Ohmura, Tomohisa, Miyazaki, Yoji
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container_issue 5
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container_title Japanese journal of ophthalmology
container_volume 44
creator Sato, Miho
Maeda, Manami
Ohmura, Tomohisa
Miyazaki, Yoji
description To introduce myectomy of the lateral rectus muscle for correcting exotropia in patients with third nerve palsy. The lateral rectus muscle of the paretic eye was myectomized without suturing it to the globe. This was combined with a medial rectus muscle resection and a contralateral lateral rectus muscle recession. Magnetic resonance imaging was performed to observe the re-attachment of the lateral rectus muscle to the globe. The patient was able to fuse in the primary position without any noticeable limitation in abduction. Magnetic resonance imaging showed that the lateral rectus muscle was attached to the globe through fibrous tissue. Myectomy of the lateral rectus muscle is an effective and simple procedure to accomplish a super-maximal weakening effect of abduction in patients with complete third nerve palsy.
doi_str_mv 10.1016/S0021-5155(00)00212-4
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subjects Biological and medical sciences
Exotropia
Exotropia - diagnosis
Exotropia - etiology
Exotropia - surgery
Eye Movements
Female
Humans
Magnetic Resonance Imaging
Medical sciences
Middle Aged
MRI
myectomy
Oculomotor Muscles - anatomy & histology
Oculomotor Muscles - surgery
Oculomotor Nerve Diseases - complications
Oculomotor Nerve Diseases - diagnosis
Oculomotor Nerve Diseases - surgery
Reoperation
surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
third nerve palsy
title Myectomy of Lateral Rectus Muscle for Third Nerve Palsy
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