Motility restriction after resection of an extraocular muscle.
10.3341/kjo.2001.15.2.133
- Author:
Shin Jeong KANG
1
;
Jeung Hun JANG
Author Information
1. Department of Ophthalmology, Inje University Sanggye Paik Hospital, Seoul, Korea.
- Publication Type:Case Reports ; Research Support, Non-U.S. Gov't
- Keywords:
extraocular muscle;
resection;
restriction
- MeSH:
Adolescent;
Case Report;
Exotropia/*surgery;
*Eye Movements;
Human;
Male;
Ocular Motility Disorders/*etiology/*physiopathology;
Oculomotor Muscles/*physiopathology/*surgery;
Ophthalmologic Surgical Procedures/*adverse effects;
Postoperative Period
- From:Korean Journal of Ophthalmology
2001;15(2):133-136
- CountryRepublic of Korea
- Language:English
-
Abstract:
Restriction of eye movement after surgery is an unusual but troublesome complication. A patient presented with a limitation of abduction after a 5 mm resection of medial rectus muscle and an 8 mm recession of lateral rectus muscle. Since the forced duction test was positive, restrictive factors were suggested to be implicated. A reparative operation was performed at the postoperative 9 month, and the forced duction test was negative after releasing the resected medial rectus muscle. The patient showed an improved abduction after recessing the resected muscle. Even after an uneventful surgery, resection of an extraocular muscle may cause restriction of ocular rotation caused by muscle scarring to the sclera or by an increased tightness of the muscle.
