Skip to main content

Advertisement

Log in

Double-bellied medial rectus muscle in a patient with Down syndrome and congenital esotropia

  • Anatomic Variations
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

A 13-year-old male with Down syndrome, pseudophakic secondary to congenital cataract presented with esotropia. During bilateral medial rectus recession, a unilateral two-bellied right medial rectus was identified and recessed successfully with complete resolution of the deviation. Clinicians facing a two-bellied medial rectus can consider continuing with their surgical plan.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Deangelis DD, Kraft SP (2001) The double-bellied inferior oblique muscle: clinical correlates. J AAPOS 5(2):76–81. https://doi.org/10.1067/mpa.2001.111780

    Article  CAS  PubMed  Google Scholar 

  2. De Angelis D, Makar I, Kraft SP (1999) Anatomic variations of the inferior oblique muscle: a potential cause of failed inferior oblique weakening surgery. Am J Ophthalmol 128(4):485–488. https://doi.org/10.1016/s0002-9394(99)00225-1

    Article  PubMed  Google Scholar 

  3. Khitri MR, Demer JL (2010) Magnetic resonance imaging of tissues compatible with supernumerary extraocular muscles. Am J Ophthalmol 150(6):925–931. https://doi.org/10.1016/j.ajo.2010.06.007

    Article  PubMed  PubMed Central  Google Scholar 

  4. Ljubic A, Trajkovski V, Tesic M, Tojtovska B, Stankovic B (2015) Ophthalmic manifestations in children and young adults with Down syndrome and congenital heart defects. Ophthalmic Epidemiol 22(2):123–129. https://doi.org/10.3109/09286586.2015.1017652

    Article  PubMed  Google Scholar 

  5. Lueder GT (2002) Anomalous orbital structures resulting in unusual strabismus. Surv Ophthalmol 47(1):27–35. https://doi.org/10.1016/s0039-6257(01)00285-5

    Article  PubMed  Google Scholar 

  6. Nayak SB, Shetty SD, Kumar N, Aithal AP (2019) Double-bellied superior rectus muscle. Surg Radiol Anat 41(6):713–715. https://doi.org/10.1007/s00276-019-02211-0

    Article  PubMed  Google Scholar 

  7. Shazly TA et al (2017) Congenital entropion and hypotropia secondary to duplication of the inferior rectus muscle. J AAPOS 21(1):85–87. https://doi.org/10.1016/j.jaapos.2016.09.022

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

None

Funding

None.

Author information

Authors and Affiliations

Authors

Contributions

MLF: project development, data collection, data analysis, and manuscript writing/editing. ACR: project development, data collection, data analysis, and manuscript writing/editing. JM: data analysis and manuscript writing/editing. CAF: project development and data collection. JM: project development, data analysis, and financial support.

Corresponding author

Correspondence to Marissa L. Fernández-de-Luna.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interests.

Ethical approval

Figures in the manuscript were consented by the parents and approved according to the protection of human subjects and Institutional Review Board (IRB).

Consent to participate

Granted.

Consent for publication

Granted.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (PNG 470 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fernández-de-Luna, M.L., Rodríguez-Martínez, AC., Mohamed-Noriega, J. et al. Double-bellied medial rectus muscle in a patient with Down syndrome and congenital esotropia. Surg Radiol Anat 42, 859–861 (2020). https://doi.org/10.1007/s00276-020-02464-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-020-02464-0

Keywords

Navigation