Transient internal ophthalmoplegia after inferior oblique myectomy.
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.
Bladen
John C
JC
Chelsea and Westminster Hospital, London, United Kingdom. john_bladen@hotmail.com
Moosajee
Mariya
M
Angunawela
Romesh
R
Roberts
Clare
C
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
D009184:Mydriatics; D010862:Pilocarpine