PURPOSE To evaluate the efficacy of transposition of the belly of the inferior oblique muscle in treating inferior oblique overaction with small angle hypertropia. METHODS The medical records of 10 patients who underwent inferior oblique belly transposition from March 2014 to July 2016 were reviewed. Transposition of the inferior oblique muscle belly consisted of suturing the entire body of t...

In high myopia, acquired esotropia can be present as strabismus fixus convergence also known Heavy Eye Syndrome (HES). Although exotropia and hypertropia have been reported, patients typically with diplopia due to increasing hypotropia limitations on abduction elevation. We reported two cases of HES based history clinical examination, which includes anterior posterior segment examination squint...

OBJECTIVE To describe and characterize diplopia resulting from skew deviation after cerebellopontine angle (CPA) surgery and labyrinthectomy. PATIENTS AND INTERVENTIONS Retrospective case series of 4 patients who developed vertical diplopia from skew deviation after resection of tumors in the CPA or labyrinthectomy MAIN OUTCOME MEASURE Complete neuro-opthalmologic examination including opti...

A 51-year old man presented with vertical and torsional diplopia after reduction of a blowout fracture at another hospital one year ago. He had no anormalies of head position and 14 prism diopters (PD) right hypertropia (RHT) in the primary position. In upgaze no vertical deviation was found, and hyperdeviation on downgaze was 35PD. Bielschowsky head tilt test showed a negative response. Distin...

PURPOSE To report the surgical effect in upshoot of Duane retraction syndrome (DRS) with corecession of horizontal rectus muscles with or without Y-splitting. PATIENTS AND METHODS A retrospective chart review of six patients of DRS received muscle surgeries for upshoot in adducted position was performed. RESULTS From 1994 to 2010, six Duane patients received muscle surgeries for upshoots of...

Purpose. To report our findings in a case of orbital T-cell lymphoma in which all of the extraocular muscles (EOMs) were bilaterally and discretely enlarged and the patient had a moon face countenance. Case. A 59-year-old woman presented with visual disturbances in her left eye, hyperemia in both eyes, and a moon face countenance. Examinations showed limited upward gaze in the right eye, blepha...

PURPOSE We previously reported an 8% incidence of double-bellied inferior oblique (IO) muscles at the surgical capture site (10-12 mm from insertion) in cadaveric specimens. This companion study sought to determine how often this anomaly is encountered at surgery for clinically overacting IO muscles and whether clinical findings or surgical outcomes in cases with double-bellied muscles differ f...

BACKGROUND Transient ocular misalignment as a complication of parabulbar and peribulbar anesthesia has already been reported in the literature. The aim of our study was to present a case of irreversible iatrogenic vertical strabismus after cataract surgery, which had to be operated on. METHODS Clinical and orthoptic evaluation of a female patient with vertical diplopia after phacoemulsificati...

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 ...