Purpose To present the results of bilateral superior rectus transposition with medial rectus recession in a case of chronic bilateral sixth nerve palsy. Observation Bilateral superior rectus transposition with medial rectus recession resulted in full correction of esotropia with resolution of horizontal diplopia, improvement in abduction, and regain of stereoacuity in our case. There was mini...

To cite: Pujari A, Behera AK. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016217953 DESCRIPTION A 9-year-old boy presented with the history of progressive pain, watering and abduction limitation for 1-week duration. Medical history revealed two episodes of recurrent congestion on the nasal side and watering 2 and 4 week’s prior. On examination visual acuity w...

PURPOSE The kinematics of eye rotation is not entirely elucidated despite two centuries of fascination with the deceptively simple yet geometrically complex nature of the movement. Recently, the traditional view that oculorotatory muscles except the superior oblique muscle exert straight pull on the globe has been challenged by the claim that the muscles also go through a connective tissue pull...

purpose: oculocardiac reflex (ocr) is a frequent event during strabismus surgery. the aim of this study is to compare the preventive effect of intravenous lidocaine and hyoscine on ocr.methods: this prospective, randomized clinical trial was performed on 75 patients (5-63 years old) underwent strabismus surgery. patients divided randomly into three groups. intravenous hyoscine (0.2 mg/kg), lido...

BACKGROUND Published data regarding the structure of the quadriceps tendon are diverse. Dissection of the quadriceps muscle group revealed that beside the rectus femoris, vastus lateralis, vastus intermedius and vastus medialis a fifth muscle component- named the tensor vastus intermedius consistently fused into quadriceps tendon. It can be hypothesized that all these elements of the extensor a...

OBJECTIVE The objective of this study was to find the most appropriate, accurate, and convenient muscle parameter that can be used as a substitute for volume in monitoring the effectiveness of therapy of patients with Graves' ophthalmopathy. SUBJECTS AND METHODS The four rectus muscles in 110 orbits (35 patients and 20 control subjects) were evaluated with MR imaging. The diameter at the larg...

Ophthalmic examination yielded the following results: vision: OD: 20/40, OS: 20/40; intraocular pressure (IOP): OD: 15 mm Hg, OS: 15 mm Hg. Eye position and motion were normal. Slit lamp examination showed a purple-hued cystic mass nasally of the left eye, extending to the orbit with clear verge and slight congestion (Figure 1). Orbital magnetic resonance imaging (MRI) revealed a mass in front ...

This study attempted to evaluate the influence of using an unstable shoe in muscle recruitment strategies and center of pressure (CoP) displacement after the application of an external perturbation. Fourteen healthy female subjects participated in this study. The electromyographic activity of medial gastrocnemius, tibialis anterior, rectus femoris, biceps femoris, rectus abdominis and erector s...

A 49-year-old female presented with bilateral abducens nerve palsies. She had 75 prism diopter esotropia. The extraocular movement of the lateral rectus was -1 limitation for the right eye and -4 limitations for the left. After performing orbital magnetic resonance imaging (MRI), 2 mL of bupivacain (5 mg/mL) was injected into the left lateral rectus (LR). One month after injection, a further or...