Unilateral inferior rectus hypoplasia in a child with Axenfeld-Rieger syndrome.
A 6-year-old boy with Axenfeld-Rieger syndrome presented with exotropia and a right hypertropia with limited depression. Computed tomography revealed hypoplasia of the right inferior rectus muscle. Forced duction testing was notable for a tight right superior rectus muscle. A superior rectus muscle recession reduced the primary position hypertropia but did not improve the patient's downgaze. To our knowledge, unilateral inferior rectus muscle hypoplasia has not been described previously in a patient with Axenfeld-Rieger syndrome.
Pediatric Ophthalmology, L. V. Prasad Eye Institute, Hyderabad, India. manjub25@gmail.com
Manjushree
M
Bhate
Frank J
FJ
Martin
D000869:Anterior Eye Segment / Q000002:abnormalities; D002648:Child; D005099:Exotropia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005124:Eye Abnormalities / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D015785:Eye Diseases, Hereditary; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000002:abnormalities* / Q000000981:diagnostic imaging; D013508:Ophthalmologic Surgical Procedures; D014057:Tomography, X-Ray Computed