In this presentation from Pediatric Ophthalmology Subspecialty Day 2022, Dr. Cynthia Beauchamp explains why she believes simpler is better when it comes to surgery for sixth cranial nerve (CN) palsy. She concludes that a single vertical rectus transposition (VRT) is effective, is safe in terms of anterior segment ischemia, and leaves fresh muscles in the event of future surgery.

The discussion includes the following:

• superior rectus transposition (SRT) in patients with sixth nerve palsy and esotropic Duane syndrome
• inferior rectus transposition (IRT)
• clinical data supporting single VRT
• a comparison of SRT and VRT