title: Transient internal ophthalmoplegia after inferior oblique myectomy.
abstract: Internal ophthalmoplegia causing pupillary dilatation and loss of accommodation following damage to the ciliary ganglion is a rare complication of strabismus surgery. Here we report a case of parasympathetic neuropraxia resulting in transient internal ophthalmoplegia after inferior oblique myectomy in a 12-year-old girl. Short-term symptomatic relief was achieved with 1% pilocarpine. Normal visual function returned over several months.
authors.affiliation: Chelsea and Westminster Hospital, London, United Kingdom. john_bladen@hotmail.com
authors.forename: John C
authors.initials: JC
authors.lastname: Bladen
authors.forename: Mariya
authors.initials: M
authors.lastname: Moosajee
authors.forename: Romesh
authors.initials: R
authors.lastname: Angunawela
authors.forename: Clare
authors.initials: C
authors.lastname: Roberts
mesh_terms: D002648:Child; D002924:Ciliary Body / Q000294:innervation; D005099:Exotropia / Q000601:surgery*; D005260:Female; D005726:Ganglia, Parasympathetic / Q000293:injuries; D006801:Humans; D009184:Mydriatics / Q000008:administration & dosage; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D009886:Ophthalmoplegia / Q000209:etiology*; D010862:Pilocarpine / Q000008:administration & dosage; D011680:Pupil / Q000187:drug effects; D012025:Reflex, Pupillary / Q000502:physiology; D015348:Vision, Binocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology
chemical_list: D009184:Mydriatics; D010862:Pilocarpine