| CASE REPORT |
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| Year : 2023 | Volume
: 3
| Issue : 2 | Page : 488-489 |
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Surgical management of partial third nerve palsy in a single setting
Vidhya Chandran, N Nishant
Department of Pediatric Ophthalmology and Strabismus, Sankara, Eye Hospital, Bangalore, Karnataka, India
Correspondence Address:
Vidhya Chandran
Department of Pediatric Ophthalmology and Strabismus, Sankara, Eye Hospital, Bangalore, Karnataka
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/IJO.IJO_2634_22
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We report a case of a middle-aged woman who presented to us 8 months after a road traffic accident with the complaint of binocular diplopia. She had limitation of elevation and depression of OD with ptosis, which improved on OD adduction. She underwent (OD) lateral rectus (LR) transposition to superior rectus with Foster augmentation, (OS) LR recession under adjustable suturing technique – 9 mm (5 + 4), and medial rectus (MR) plication 6 mm under local anesthesia. LR was re-recessed by 1 mm the next day. Postoperatively, at 3 months, prism bar cover test showed orthophoria for distance and near in primary gaze with − 3 limitation of elevation in OD.
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