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Transposition of superior oblique muscle was effective for adduction and intorsion in a case of bilateral oculomotor palsy Shion Hayashi 1 , Hitomi Edamatsu 1 , Haruna Ito 1 , Hidetoshi Yamashita 1 1Department of Ophthalmology, Yamagata University Faculty of Medicine pp.1383-1388
Published Date 2017/9/15
DOI https://doi.org/10.11477/mf.1410212403
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Abstract Purpose:To report a case who developed bilateral oculomotor palsy with restricted adduction and intorsion that improved after transposition of the superior oblique muscle.

Case:A 29-year-old male had developed bilateral oculomotor palsy after traffic accident at the age of 18 years. The left eye showed restricted adduction and elevation. Large exotropia with hypotropia was present in the left eye.

Clinical Course:Both eyes received recession of lateral rectus muscle. The left eye received, additionally, recession of inferior rectus muscle. Both eyes received ptosis surgery. Seven months later, bilateral resection of medial rectus muscles with recession of right superior rectus muscle was performed. Transposition of left superior oblique muscle was performed for residual restriction of upward gaze with intorsion of the left eye.

Conclusion:Transposition of superior oblique muscle resulted in improved adduction, downward gaze, and intorsion.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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