Anterior segment ischemia is a rare but well-recognized complication after strabismus surgery, involving multiple extraocular muscles. We report a case of traumatic left sixth nerve palsy in a 32-year-old man who developed anterior segment ischemia after left medial rectus muscle recession and partial tendon transfer of the vertical rectus muscles to the lateral rectus, augmented by lateral fix...

blow out fracture is a common disease in oculoplastics clinics. one of indication for surgical intervention is entrapment of inferior rectus muscle in the fractured site. in this article authors represent two cases with this disease who underwent surgery for the entrapment of perimuscular fascia without inferior rectus muscle involvement. the results of treatment in both cases were excellent. t...

BACKGROUND Duane retraction syndrome (DRS) consists of abduction deficit, globe retraction and upshoots or downshoots with adduction. The abducens nerve on the affected side is absent in type 1 DRS. After bilateral medial rectus muscle recession in unilateral type 1 DRS may improve the abduction limitation, but still more than -3 limitation remains. CASE PRESENTATION A 6-month-old boy present...

The oculocardiac reflex was quantitatively studied in 15 patients with strabismus. The reflex was observed in all patients when the medial rectus and inferior oblique muscles were stretched; the medial rectus muscle had a lower threshold than the inferior oblique. Bradycardia was evoked in 7 of the 15 patients when the lateral rectus was tractioned with tensions of 50 g and 600 g. The oculocard...

BACKGROUND AND OBJECTIVE This study examines the value of ultrasound elastography for the examination of ocular and periocular structures. SUBJECTS AND METHODS Five patients, aged 22 to 75 years, who each had one blind eye were included. Patients underwent ultrasound elastography of their blind eye and periocular tissues using a 7-13 MHz probe. Strain grayscale and color-coded elastographic m...

Strabismus fixus is very rare and the convergent form is rarely accompanied by blepharoptosis. We successfully treated one patient with high myopia whose convergent strabismus fixus, accompanied by blepharoptosis, became severe after cataract surgery. We report the case with a discussion of its pathology. We performed levator advancement operation, bilateral lateral rectus 11 mm resection, and ...

OBJECTIVE To evaluate the success rate of surgical corrections of constant and intermittent exotropias. STUDY DESIGN A case series. PLACE AND DURATION OF STUDY Al-Ibrahim Eye Hospital, Karachi, from July 2011 to December 2012. METHODOLOGY Patients having primary exotropia (deviation 15 - 45 prism diopters [PD]) were included. Patients with either constant exotropia or basic intermittent e...

Background: To evaluate ocular complications of strabismus surgery at the Department of Strabismus and Neuroophthalmology in our clinic. Methods: The medical records of patients who underwent strabismus surgery between March 1999 and February 2013 were retrospectively reviewed. Patients with minor ocular complications such as wound irregularities, conjunctivitis, subconjunctival hemorrhage, and...

The pattern of formation of the human rectus sheath exhibits variations, it is not clear if these variations are population specific. This study aimed at describing the pattern of formation of the rectus sheath in a select Kenyan population. Formation of the rectus sheath was analyzed in eighty subjects (47 male, 33 female) during autopsies and cadaveric dissection. The anterior wall of the rec...

OBJECTIVE To report the clinical characteristics and treatment of subjects with incomitant esotropia following unilateral pterygium excision. METHODS A retrospective review of 6 consecutive patients who developed incomitant esotropia, limited abduction, and diplopia following unilateral pterygium excision surgery. RESULTS The mean preoperative deviation was 6 prism diopters (PD) (range, 0-2...