Binocular Diplopia Treated with Inferior Rectus Recession and Faden Operation of The Normal Eye in a Case of Blow Out Fracture
We report a case of right eye inferior rectus palsy following blow out fracture repair in a 11-year- old boy. The blow out fracture repair was done 2 weeks following trauma. On presentation, the patient was orthotropic in primary gaze with diplopia in downgaze. Cover test revealed (OD) hypertropia a...
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| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Delhi Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.7869/djo.288 |
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| author | Smita Kapoor V. Rajesh Prabu Swarna Udayakumar |
| author_facet | Smita Kapoor V. Rajesh Prabu Swarna Udayakumar |
| author_sort | Smita Kapoor |
| collection | DOAJ |
| description | We report a case of right eye inferior rectus palsy following blow out fracture repair in a 11-year- old boy. The blow out fracture repair was done 2 weeks following trauma. On presentation, the patient was orthotropic in primary gaze with diplopia in downgaze. Cover test revealed (OD) hypertropia and (OS) hypotropia. Prism bar cover test showed maximum hypertropia in depression and dextrodepression. Diplopia charting also revealed maximum separation of images in dextrodepression. Computerized tomography was performed which suggested edema and thickening of (OD) inferior rectus muscle with no entrapment. The patient underwent (OS) 3mm inferior rectus recession and Faden operation (15mm), following which, he was diplopia free on post operative day1, at 1 and 6 months followup. Faden operation (posterior fixation suture) with or without inferior rectus recession of the other eye is a surgical option for inferior rectus palsy. |
| format | Article |
| id | doaj-art-2efe5085e1804d9284c7c2f70a2b587c |
| institution | OA Journals |
| issn | 0972-0200 2454-2784 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Delhi Journal of Ophthalmology |
| spelling | doaj-art-2efe5085e1804d9284c7c2f70a2b587c2025-08-20T02:10:57ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842017-01-01281323410.7869/djo.288Binocular Diplopia Treated with Inferior Rectus Recession and Faden Operation of The Normal Eye in a Case of Blow Out FractureSmita KapoorV. Rajesh PrabuSwarna UdayakumarWe report a case of right eye inferior rectus palsy following blow out fracture repair in a 11-year- old boy. The blow out fracture repair was done 2 weeks following trauma. On presentation, the patient was orthotropic in primary gaze with diplopia in downgaze. Cover test revealed (OD) hypertropia and (OS) hypotropia. Prism bar cover test showed maximum hypertropia in depression and dextrodepression. Diplopia charting also revealed maximum separation of images in dextrodepression. Computerized tomography was performed which suggested edema and thickening of (OD) inferior rectus muscle with no entrapment. The patient underwent (OS) 3mm inferior rectus recession and Faden operation (15mm), following which, he was diplopia free on post operative day1, at 1 and 6 months followup. Faden operation (posterior fixation suture) with or without inferior rectus recession of the other eye is a surgical option for inferior rectus palsy.https://journals.lww.com/10.7869/djo.288binocular diplopiafadenrectus recession |
| spellingShingle | Smita Kapoor V. Rajesh Prabu Swarna Udayakumar Binocular Diplopia Treated with Inferior Rectus Recession and Faden Operation of The Normal Eye in a Case of Blow Out Fracture Delhi Journal of Ophthalmology binocular diplopia faden rectus recession |
| title | Binocular Diplopia Treated with Inferior Rectus Recession and Faden Operation of The Normal Eye in a Case of Blow Out Fracture |
| title_full | Binocular Diplopia Treated with Inferior Rectus Recession and Faden Operation of The Normal Eye in a Case of Blow Out Fracture |
| title_fullStr | Binocular Diplopia Treated with Inferior Rectus Recession and Faden Operation of The Normal Eye in a Case of Blow Out Fracture |
| title_full_unstemmed | Binocular Diplopia Treated with Inferior Rectus Recession and Faden Operation of The Normal Eye in a Case of Blow Out Fracture |
| title_short | Binocular Diplopia Treated with Inferior Rectus Recession and Faden Operation of The Normal Eye in a Case of Blow Out Fracture |
| title_sort | binocular diplopia treated with inferior rectus recession and faden operation of the normal eye in a case of blow out fracture |
| topic | binocular diplopia faden rectus recession |
| url | https://journals.lww.com/10.7869/djo.288 |
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