Isolated Rupture of Extraocular Muscles in a Severe Penetrating Trauma – “A Globe Shielded by Muscles”
Traumatic rupture of an extraocular muscle is noted infrequently. The medial and inferior rectus muscles are usually found to be affected. We report an unusual case of superior oblique and medial rectus rupture after a penetrating trauma by the metallic hook. The surgical repair was combined with bo...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | TNOA Journal of Ophthalmic Science and Research |
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| Online Access: | https://journals.lww.com/10.4103/tjosr.tjosr_115_24 |
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| author | Shashikant Shetty Rutvi Parikh Anupama Janardhanan Janani Sankar |
| author_facet | Shashikant Shetty Rutvi Parikh Anupama Janardhanan Janani Sankar |
| author_sort | Shashikant Shetty |
| collection | DOAJ |
| description | Traumatic rupture of an extraocular muscle is noted infrequently. The medial and inferior rectus muscles are usually found to be affected. We report an unusual case of superior oblique and medial rectus rupture after a penetrating trauma by the metallic hook. The surgical repair was combined with botulinum toxin injection into the ipsilateral antagonist to prevent consequent contracture, thus also augmenting the orthoptic outcome. At one month follow-up, remarkably good primary position alignment with fine range of extraocular movements was achieved. This case report emphasizes on myriad presentations of ocular trauma and highlights the significance of well-planned surgical management. |
| format | Article |
| id | doaj-art-7326ad435ac3427dab46db84f3aee6f8 |
| institution | Kabale University |
| issn | 2589-4528 2589-4536 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | TNOA Journal of Ophthalmic Science and Research |
| spelling | doaj-art-7326ad435ac3427dab46db84f3aee6f82025-08-20T03:44:43ZengWolters Kluwer Medknow PublicationsTNOA Journal of Ophthalmic Science and Research2589-45282589-45362025-04-0163222022210.4103/tjosr.tjosr_115_24Isolated Rupture of Extraocular Muscles in a Severe Penetrating Trauma – “A Globe Shielded by Muscles”Shashikant ShettyRutvi ParikhAnupama JanardhananJanani SankarTraumatic rupture of an extraocular muscle is noted infrequently. The medial and inferior rectus muscles are usually found to be affected. We report an unusual case of superior oblique and medial rectus rupture after a penetrating trauma by the metallic hook. The surgical repair was combined with botulinum toxin injection into the ipsilateral antagonist to prevent consequent contracture, thus also augmenting the orthoptic outcome. At one month follow-up, remarkably good primary position alignment with fine range of extraocular movements was achieved. This case report emphasizes on myriad presentations of ocular trauma and highlights the significance of well-planned surgical management.https://journals.lww.com/10.4103/tjosr.tjosr_115_24botoxhook injurymuscle ruptureocular traumavertical strabismus |
| spellingShingle | Shashikant Shetty Rutvi Parikh Anupama Janardhanan Janani Sankar Isolated Rupture of Extraocular Muscles in a Severe Penetrating Trauma – “A Globe Shielded by Muscles” TNOA Journal of Ophthalmic Science and Research botox hook injury muscle rupture ocular trauma vertical strabismus |
| title | Isolated Rupture of Extraocular Muscles in a Severe Penetrating Trauma – “A Globe Shielded by Muscles” |
| title_full | Isolated Rupture of Extraocular Muscles in a Severe Penetrating Trauma – “A Globe Shielded by Muscles” |
| title_fullStr | Isolated Rupture of Extraocular Muscles in a Severe Penetrating Trauma – “A Globe Shielded by Muscles” |
| title_full_unstemmed | Isolated Rupture of Extraocular Muscles in a Severe Penetrating Trauma – “A Globe Shielded by Muscles” |
| title_short | Isolated Rupture of Extraocular Muscles in a Severe Penetrating Trauma – “A Globe Shielded by Muscles” |
| title_sort | isolated rupture of extraocular muscles in a severe penetrating trauma a globe shielded by muscles |
| topic | botox hook injury muscle rupture ocular trauma vertical strabismus |
| url | https://journals.lww.com/10.4103/tjosr.tjosr_115_24 |
| work_keys_str_mv | AT shashikantshetty isolatedruptureofextraocularmusclesinaseverepenetratingtraumaaglobeshieldedbymuscles AT rutviparikh isolatedruptureofextraocularmusclesinaseverepenetratingtraumaaglobeshieldedbymuscles AT anupamajanardhanan isolatedruptureofextraocularmusclesinaseverepenetratingtraumaaglobeshieldedbymuscles AT jananisankar isolatedruptureofextraocularmusclesinaseverepenetratingtraumaaglobeshieldedbymuscles |