This study analyze the surgical results obtained in a lot of patients with sixth nerve paralysis operated with different techniques. The results were evaluated using the following parameters: deviation in primary position, abduction deficit, existence of induced vertical deviation and presence of anterior segment ischemia. Ortotropia was achieved in higher percentage in full tendon transposition technique, closely followed by recession-resection technique; the weakest results were recorded in partial tendon transposition technique. Similar results were obtained in abduction improvement. The induced vertical deviation was present in higher percentage in partial transposition technique. The anterior segment ischemia wasn't recorded in any case regardless of the selected surgical technique. Careful analysis of the ocular motility deficit (paresis or palsy) is crucial in selecting the appropriate surgical procedure.
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