Transcaruncular rectus tendon fixation to the orbit and frontalis flap for complete third nerve palsy.

Purpose: To describe our experience and outcomes managing complete third cranial nerve palsy.

Methods: This was a retrospective analysis of the clinical records of 7 consecutive patients treated at our centre for unilateral third nerve palsy over the period 2010-2016. We describe our surgical approach using a frontalis muscle flap to correct the eyelid ptosis associated with medial fixation of the rectus muscle tendon to the orbit to correct the horizontal deviation.