To the Editors: Ocular motility problems related to congenital abnormalities of the extraocular muscles are rare. Such congenital abnormalities may present in a spectrum from accessory additional rectus muscles to the absence of extraocular muscles.1-5 Absence of one or more extraocular muscles is a rare condition usually seen in association with craniofacial syndromes. We present a case of bil...

AIMS To assess the results of visual axis alignment following one stage adjustable suture surgery to correct vertical diplopia. METHOD Eight patients with a mean age of 44.9 years (range 16-80 years) complaining of vertical diplopia underwent rectus muscle recession under local anaesthesia with intraoperative adjustment of sutures. Diplopia was secondary to superior oblique paresis in four pa...

The Authors Reply We appreciate the clinical and radiological comments by Tsuda, concerning partial oculomotor fascicular paresis in our patient (1). He proposed the possibility that the left medial longitudinal fasciculus (MLF) syndrome and palsy of the right inferior rectus muscle were present in our patient. The red glass test and Hess chart were performed in our patient. These results revea...

The authors report the case of a 5 year-old boy who up to 2 years old presented normal eyes, when his right eye started to deviate upward and laterally, until be hidden under the superior lid. At the surgery, a strong passive limitation to infraduction of this eye was felt. He had already been operated on in another clinic, but the surgeon could not succeed in hooking his superior rectus. With ...

IMPORTANCE Recognition of sagging eye syndrome (SES) as the cause of chronic or acute acquired diplopia may avert neurologic evaluation and imaging in most cases. OBJECTIVES To determine whether SES results from inferior shift of lateral rectus (LR) extraocular muscle (EOM) pulleys and to investigate anatomic correlates of strabismus in SES. DESIGN AND SETTING We used magnetic resonance ima...