Anteriorization of inferior oblique muscle and downward transposition of medial rectus muscle for lost inferior rectus muscle.
A 6-year-old boy who had been treated with bilateral medial rectus muscle recessions 3 years earlier for congenital esotropia was undergoing bilateral inferior oblique muscle recessions to correct inferior oblique muscle overaction. The right inferior rectus muscle was inadvertently cut during this surgery and was irretrievable. To manage this complication, the medial rectus muscle was transposed toward the inferior rectus insertion and the inferior oblique muscle was anteriorized. At the 1 year follow-up visit, no infraduction deficit was present on downgaze and only 8(delta) of left hypertropia was present in primary position.
Asadi
Reza
R
Department of Ophthalmology, Eye Research Center, Iran University of Medical Sciences, Tehran, Iran.
Falavarjani
Khalil Ghasemi
KG
D002648:Child; D004948:Esotropia / Q000151:congenital / Q000503:physiopathology / Q000601:surgery; D005133:Eye Movements; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012086:Reoperation