AOR
Archives of Ophthalmological Research

The Archives of Ophthalmological Research aims to publish issues related to publish articles of the highest scientific and clinical value at an international level, and accepts articles on these topics. The target audience of the journal included specialists and physicians working in ophthalmology, and other health professionals interested in these fields.

eISSN: 3023-6479
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Case Report
Superior rectus transposition as a feasible surgical method for diplopia due to abducens paralysis with small angle esotropia: a case report and comprehensive perspective on other new trend surgical methods
Abstract
Sixth nerve palsy (SNP) is a neuro-ophthalmologic disorder characterized by palsy of the lateral rectus (LR) muscle. This palsy leads to diplopia and head position owing to difficulties with lateral gaze in the affected eye. The medical management of SNP is determined by its underlying condition. Most individuals with SNP get spontaneous resolution within a period of six months, systemic treatment. However, a limited number of individuals may necessitate intervention owing to diplopia as their primary complaint. Especially in such cases, it is necessary to choose an appropriate surgical method by taking into account the amount of squint in order to minimize surgical complications such as anterior segment ischemia. The objective of this case presentation is to provide information on Superior rectus transposition (SRT) surgery, a viable technique for treating SNP. Additionally, this case seeks to review current treatment approaches by evaluating alternative trend surgical procedures.

Keywords : Sixth nerve palsy, superior rectus transposition, transposition surgery, augmentation suture, diplopia

Download Article


1. Kim HJ, Kim HJ, Choi JY, Yang HK, Hwang JM, Kim JS. Etiologic distribution of isolated abducens nerve palsy: analysis of 807 patients and literature review. Eur J Neurol. 2023;30(8):2471-2480. doi:10.1111/ENE.15828
2. Azarmina M, Azarmina H. The six syndromes of the sixth cranial nerve. J Ophthalmic Vis Res. 2013;8(2):160-171. doi:10.53347/rpostr-1630
3. Bagheri A, Babsharif B, Abrishami M, Salour H, Aletaha M. Outcomes of surgical and non-surgical treatment for sixth nerve palsy. J Ophthalmic Vis Res. 2010;5(1):32-37.
4. Gunton KB, Medow NB, Wang FM. Treatment of sixth nerve palsy. J Pediatr Ophthalmol Strabismus. 2015;52(4):198-201. doi:10.3928/ 01913913-20150623-03
5. Gunton KB. Vertical rectus transpositions in sixth nerve palsies. Curr Opin Ophthalmol. 2015;26(5):366-370.
6. Hernandez-García E, Burgos-Blasco B, Özkan SB, et al. A comparative multicentric long-term study of un-augmented modified Nishida procedure vs augmentation in unilateral sixth nerve palsy. Eye (Lond). 2023;37(1):170-175. doi:10.1038/S41433-021-01917-Z
7. Muraki S, Nishida Y, Ohji M. Surgical results of a muscle transposition procedure for abducens palsy without tenotomy and muscle splitting. Am J Ophthalmol. 2013;156:819-24. doi: 10.1016/j.ajo.2013.05.020
8. Tauscher R, Haynie M, Pineles SL, Velez FG. A potentially adjustable modification of the nishida procedure. J Binocul Vis Ocul Motil. 2023; 73(2):40-42. doi:10.1080/2576117X.2022.2152267
9. Akbari M, Shomali S, Mirmohammadsadeghi A, Fard MA. Augmented superior rectus transposition procedure in Duane retraction syndrome compared with sixth nerve palsy. Graefes Arch Clin Exp Ophthalmol. 2018;256(5):983-987. doi:10.1007/S00417-017-3885-5
10. Mehendale RA, Dagi LR, Wu C, Ledoux D, Johnston S, Hunter DG. Superior rectus transposition and medial rectus recession for Duane syndrome and sixth nerve palsy. Arch Ophthalmol. 2012;130(2):195-201. doi:10.1001/ARCHOPHTHALMOL.2011.384
Article available in :
Volume 2, Issue 1, 2025
Page : 17-19
https://doi.org/10.51271/AOR-0026
Article Information
Received : 25 Ağu 2024
Accepted : 25 Eki 2024
Published : 07 Oca 2025
Corresponding Author :

Gökhan Çelik: Department of Ophthalmology, Tarsus State Hospital, Mersin, Turkiye

[email protected]
Citation : Çelik G, Karaçocuk T, Çiftci F. Superior rectus transposition as a feasible surgical method for diplopia due to abducens paralysis with small angle esotropia: a case report and comprehensive perspective on other new trend surgical methods. Arch Ophthalmol Res. 2025;2(1):17-19.

Read: 19
Cited: 0
Download : 15
_Footer