title: Management of congenital fibrosis of the inferior rectus muscle associated with high myopia: a case report.
abstract: BACKGROUND
  Congenital fibrosis of the extraocular muscles includes a wide spectrum of phenotypically heterogeneous disorders involving a single or multiple muscles.
  
  
  METHODS
  We present a case of congenital fibrosis of the inferior rectus associated with ipsilateral high myopia. First we tried to treat the hypotropia with inferior rectus weakening and superior rectus strengthening procedures, but this failed, so we proceeded with an ocular sling with fascia lata and a vertical Hummelsheim procedure.
  
  
  RESULTS
  Hypotropia improved completely after the last operation and some degree of upward movement appeared.
  
  
  CONCLUSIONS
  It seems that in a highly myopic globe with fibrotic muscles, classical methods for the correction of deviation may have poor response and more innovative procedures may be required to correct the deviation.
authors.affiliation: Ophthalmic Research Center, Labbafinejad Medical Center, Shaheed Beheshti Medical University, Tehran, Iran. abbasbagheri@yahoo.com
authors.forename: Abbas
authors.initials: A
authors.lastname: Bagheri
authors.forename: Jalil
authors.initials: J
authors.lastname: Naghibozakerin
authors.forename: Shahin
authors.initials: S
authors.lastname: Yazdani
mesh_terms: D002675:Child, Preschool; D005260:Female; D005355:Fibrosis; D006801:Humans; D009135:Muscular Diseases / Q000150:complications* / Q000151:congenital / Q000473:pathology / Q000601:surgery*; D009216:Myopia / Q000150:complications*; D009801:Oculomotor Muscles; D013508:Ophthalmologic Surgical Procedures; D014057:Tomography, X-Ray Computed