• Users Online: 220
  • Print this page
  • Email this page
CASE REPORT
Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 365-367

Overcorrection after modified Nishida's procedure and medial rectus recession for sixth nerve palsy reversed by cutting one transposition suture


Department of Strabismus and Pediatric Ophthalmology, The Eye Foundation, Coimbatore, Tamil Nadu, India

Correspondence Address:
Dr. Muralidhar Rajamani
Department of Strabismus and Pediatric Ophthalmology, The Eye Foundation, 582A, D.B. Road, R.S. Puram, Coimbatore - 641 002, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2433_20

Rights and Permissions

A number of vertical rectus transposition procedures have been described for nonresolving complete sixth nerve palsy. Overcorrections following transposition procedures may be treated by reversing/adjusting the transposition or advancing the medial rectus (if previously recessed). Undercorrections require transposing an additional vertical rectus or recessing the medial rectus. Of the many available transposition procedures for sixth nerve palsy, Nishida's procedure offers the advantage of not having to disinsert the vertical recti and sparing the ciliary circulation. There are no reports on management of overcorrections following this procedure to the best of our knowledge. We report a patient with complete sixth nerve palsy, who developed a consecutive exotropia and anterior segment ischemia after Nishida's transposition with medial rectus recession. He was successfully treated by cutting the transposition suture on superior rectus.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed16    
    Printed0    
    Emailed0    
    PDF Downloaded2    
    Comments [Add]    

Recommend this journal