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Surgery for oculomotor nerve palsy with misdirection syndrome Hiroshi Ohtsuki 1 , Haruhito Konishi 1 , Satoru Hasebe 1 , Yasunori Tadokoro 1 1Dept of Ophthalmol, Okayama Univ Med Sch pp.1889-1893
Published Date 1990/11/15
DOI https://doi.org/10.11477/mf.1410900455
  • Abstract
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We treated 3 cases of traumatic oculomotor palsy with misdirection syndrome. We performed recession and resection to induce adduction of the sound eye. It was our intention to cause counter palsy in the yoke muscle of paretic medial rectus of the affected eye. All the cases showed marked reduction in exodeviation and blepharoptosis after surgery. They regained binocular single vision withprismatic corrections for residual deviations. It appeared that the surgery on the sound eye resulted in trasmission of excessive innervation to the pa-retic medial rectus in accordance to the equal inner-vation law of Hering. Stimulus of the levator muscle via misdirection from the medial rectus would have led to disappearance of blepharoptosis.


Copyright © 1990, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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