Abstract
PURPOSE: To demonstrate the technique and effectiveness of the bridle operation for oculomotor nerve paralysis with maintained elevation. METHOD: The bridle operation includes transposition of the lateral rectus muscle (passing behind inferior oblique and rectus muscles) and the superior rectus muscle (behind superior oblique tendon and medial rectus muscle) to the nasal inferior surface of the globe. RESULTS: In the reported case, this procedure corrected exo-hypertropia of 30-40°/20-30° without inducing cyclotropia. CONCLUSION: The bridle operation expands the surgical arsenal for paralytic strabismus.