Oculomotor nerve palsy — third cranial nerve palsy — disrupts ocular motility and alignment. When a residual motor deficit persists after the acute phase, surgical correction becomes the primary strategy for restoring functional ocular alignment.
This protocol applies to patients with oculomotor nerve palsy who have a persistent residual deficit — ranging from a partial horizontal misalignment to a complete palsy — and in whom surgical intervention is being planned.
Management is centred on surgical correction of the residual deficit. The operative strategy varies based on whether the palsy is partial or complete, with different procedures targeting horizontal rectus muscles or employing transposition techniques accordingly.