Abstract
A 45-year-old woman who had been operated for blow-out fracture, presented with a complaint of cosmetic concerns about her appearance. Orthoptic evaluation was notable for a left 35∆ exotropia and 25∆ hypertropia in primary position. Magnetic resonance imaging and the surgical exploration revealed a longitudinally transected left inferior rectus muscle. Transposition procedures which were carried out for left inferior and superior recti provided a good cosmetic result and satisfactory ocular alignment.
References
Yano H, Suzuki Y, Yoshimoto H, Mimasu R, Hirano A (2010) Linear-type orbital floor fracture with or without muscle involvement. J Craniofac Surg 21:1072–1078
Manson PN, Iliff N (1991) Management of blow-out fractures of the orbital floor. II. Early repair for selected injuries. Surv Ophthalmol 35:280–292
Putterman AM (1991) Management of blow out fractures of the orbital floor. III. The conservative approach. Surv Ophthalmol 35:292–298
Yip CC, Jain A, McCann JD, Demer JL (2006) Inferior rectus muscle transection: a cause of diplopia after non-penetrating orbital trauma. Graefes Arch Clin Exp Ophthalmol 244:1698–1700
Cherfan CG, Traboulsi EI (2011) Slipped, severed, torn and lost extraocular muscles. Can J Ophthalmol 46:501–509
Nishida Y, Hayashi O, Miyake T, Kakinoki M, Yoshida K, Iwami T, Mekada A, Yakushigawa H, Suzuki M (2004) Quantitative evaluation of ocular motility in blow-out fractures for selection of nonsurgically managed cases. Am J Ophthalmol 137:777–779
Awadein A (2012) Clinical findings, orbital imaging, and intraoperative findings in patients with isolated inferior rectus muscle paresis or underaction. J AAPOS 16(4):345–349
Brucoli M, Arcuri F, Cavenaghi R, Benech A (2011) Analysis of complications after surgical repair of orbital fractures. J Craniofac Surg 22:1387–1390
Pineles SL, Laursen J, Goldberg RA, Demer JL, Velez FG (2012) Function of transected or avulsed rectus muscles following recovery using an anterior orbitotomy approach. J AAPOS 16(4):336–341
Plager DA, Parks MM (1990) Recognition and repair of the “lost” rectus muscle: a report of 25 cases. Ophthalmology 97(1):131–136
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The authors report no conflict of interest. The authors alone are responsible for the content and writing of the paper.
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The study was conducted in the Hacettepe University School of Medicine, Department of Ophthalmology, Ankara, Turkey.
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Taylan Sekeroglu, H., Erkan Turan, K., Sanac, A.S. et al. Late correction for blow-out sequelae: transposition of a longitudinally transected inferior rectus muscle. Int Ophthalmol 34, 341–344 (2014). https://doi.org/10.1007/s10792-013-9792-9
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DOI: https://doi.org/10.1007/s10792-013-9792-9