Inferior rectus muscle transection: a cause of diplopia after non-penetrating orbital trauma

Vertical diplopia after blow out fracture repair is not uncommon; we report an unusual case of inferior rectus muscle (IR) transection presenting as a persistent infra-duction deficit after uncomplicated blow out fracture repair. We used multi-positional MRI to diagnose a transected IR with a contra...

Full description

Saved in:
Bibliographic Details
Published in:Graefe's archive for clinical and experimental ophthalmology 2006-12, Vol.244 (12), p.1698-1700
Main Authors: Yip, Chee-Chew, Jain, Atul, McCann, John D, Demer, Joseph L
Format: Article
Language:English
Subjects:
Adolescent
Diplopia - diagnosis
Diplopia - etiology
Diplopia - surgery
Eye Movements
Humans
Magnetic Resonance Imaging
Male
Oculomotor Muscles - injuries
Oculomotor Muscles - pathology
Oculomotor Muscles - surgery
Orbit - injuries
Orbital Fractures - complications
Orbital Fractures - surgery
Rupture
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Vertical diplopia after blow out fracture repair is not uncommon; we report an unusual case of inferior rectus muscle (IR) transection presenting as a persistent infra-duction deficit after uncomplicated blow out fracture repair. We used multi-positional MRI to diagnose a transected IR with a contracted and posteriorly displaced muscle belly. Infra-duction improved after surgical repair of the transected IR. Multipositional MRI is a novel technology that can be used to assist in the decisive management of persistent post-operative infra-duction deficits and avoid prolonged periods of observation.
ISSN:0721-832X
1435-702X
DOI:10.1007/s00417-005-0243-9