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Inferior rectus muscle transection: a cause of diplopia after non-penetrating orbital trauma

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Abstract

Background

Vertical diplopia after blow out fracture repair is not uncommon; we report an unusual case of inferior rectus muscle (IR) transection presenting as a persistent infra-duction deficit after uncomplicated blow out fracture repair.

Methods

We used multi-positional MRI to diagnose a transected IR with a contracted and posteriorly displaced muscle belly.

Results

Infra-duction improved after surgical repair of the transected IR.

Conclusion

Multi-positional MRI is a novel technology that can be used to assist in the decisive management of persistent post-operative infra-duction deficits and avoid prolonged periods of observation.

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Acknowledgements

This study was supported by US Public Health Service grants EY08313, EY00331, and DC005224. J. Demer received an unrestricted award from Research to Prevent Blindness and is David and Laraine Gerber Professor of Ophthalmology.

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Authors and Affiliations

  1. Orbital and Ophthalmic Plastic Surgery Division, Jules Stein Eye Institute, David Geffen Medical School at UCLA, Los Angeles, CA, USA

    Chee-Chew Yip & John D. McCann

  2. The Eye Institute, National Health Care Group, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng , Singapore, Singapore, 308433

    Chee-Chew Yip

  3. Department of Ophthalmology, Stanford University, Stanford, CA, 94305, USA

    Atul Jain

  4. Comprehensive Ophthalmology Division, Jules Stein Eye Institute, David Geffen Medical School at UCLA, Los Angeles, CA, USA

    Joseph L. Demer

  5. Pediatric Ophthalmology Division, Jules Stein Eye Institute, David Geffen Medical School at UCLA, Los Angeles, CA, USA

    Joseph L. Demer

  6. Department of Neurology, David Geffen Medical School at UCLA, Los Angeles, CA, USA

    Joseph L. Demer

Authors
  1. Chee-Chew Yip
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  2. Atul Jain
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  3. John D. McCann
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  4. Joseph L. Demer
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Corresponding author

Correspondence to Atul Jain.

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Yip, CC., Jain, A., McCann, J.D. et al. Inferior rectus muscle transection: a cause of diplopia after non-penetrating orbital trauma. Graefe's Arch Clin Exp Ophthalmol 244, 1698–1700 (2006). https://doi.org/10.1007/s00417-005-0243-9

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  • DOI: https://doi.org/10.1007/s00417-005-0243-9

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