Outcome of surgery for paralytic strabismus due to traffic accident

We reviewed the outcome of surgery for paralytic strabismus due to traffic injury during the foregoing 13 years. The series comprised oculomotor palsy 21 cases (24%), trochlear palsy 48 cases (53%), abducens palsy 13 cases (15%), and multiple palsy 7 cases (8%). Severe cerebral palsy was frequently present in cases of multiple palsy. Initial surgery was performed within one year of onset in 53 cases (56%). As an overall assessment, functional cure was obtained in 64 cases (72%). The highest curative rate was obtained in trochlear palsy at 90%, and the lowest in oculomotor and multiple palsy at 43% each. The findings show the urgent need to develop new surgical approaches for oculomotor and multiple palsies.