Dr. Stacy Pineles reviews various surgical options for patients with third cranial nerve (CN) palsy in this presentation from Pediatric Ophthalmology Subspecialty Day 2022. Topics include the following:

• special features of preoperative evaluation in oculomotor palsy
• surgical goals
• management techniques, such as superior oblique (SO) transposition to medial rectus (MR) or orbital fixation
• outcomes of patients treated with SO nasal transposition, lateral rectus (LR) recession and MR resection (R&R), R&R with caruncular fixation, and full SO tuck
• moving to the other eye for residual deviation