[Evaluation of Jensen procedure in patients with complete sixth nerve palsy]

ABSTRACT

To evaluate the results of Jensen procedure in correction of ocular deviation in patients with complete sixth nerve palsy. Hospital records of patients with complete sixth nerve palsy who underwent Jensen procedure at Khalili Hospital of Shiraz during 1993-2002 were studied and results of the operation were evaluated. Of 18 patients including 14 male and 4 females, 19 eyes were operated on. Cause of the condition was head trauma in 83.5% of the patients. Average horizontal deviation in primary position was 48 prism diopter esotropia before and 2.6 esotropia after the operation. After the procedure, 78% of the patients had patients developed 5 prism diopter vertical deviation; and 17% of the patients developed face turn. Thirty-three percent of the patients suffered from diplopia before operation which completely resolved after the operation. None of the patients developed anterior segment ischemia. Jensen procedure is a suitable method for correcting deviation due to complete sixth nerve palsy. The results of this procedure are comparable to other surgical methods: