Management of congenital fibrosis of the inferior rectus muscle associated with high myopia: a case report.
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.
Bagheri
Abbas
A
Ophthalmic Research Center, Labbafinejad Medical Center, Shaheed Beheshti Medical University, Tehran, Iran. abbasbagheri@yahoo.com
Naghibozakerin
Jalil
J
Yazdani
Shahin
S
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