Abstract
Ptosis, anisocoria, loss of accommodation, incomitant exotropia, vertical and torsional disorders are the obstacles for binocularity after a traumatic III nerve palsy when a usable fusion field of vision with a more or less level head is to be acheived. To accept monocular vision may be the best choice in many cases. Therapeutic efforts to restore binocularity must deal with all aspects of the palsy. Strongly contraindicated are uncritical ptosis operations or simple repositioning interventions on the fellow eye to merely reduce the angle. Those who have a good knowledge of the entire spectrum of ocular muscle surgery, have experienced contact lens specialists at hand, and are proficient in all procedures of refractive lens surgery may, after comprehensive patient counselling, attempt to treat these patients and can in isolated cases achieve functionally useful results.
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