A Case of Intramuscular Hemangioma Presenting with Large-angle Hypertropia.
10.3341/kjo.2006.20.3.195
- Author:
Seung Hyun KIM
1
;
Hyung Ho SHIN
;
Bo Kun RHO
;
Eung Suk LEE
;
Se Hyun BAEK
Author Information
1. Department of Ophthalmology, Korea University College of Medicine, Ansan Hospital, Gyeonggi-do, Korea. shbaek6534@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Extraocular muscle enlargement;
Intramuscular hemangioma;
Large-angle hypertropia
- MeSH:
Strabismus/diagnosis/*etiology;
*Oculomotor Muscles;
Muscle Neoplasms/*complications/diagnosis;
Middle Aged;
Male;
Magnetic Resonance Imaging;
Humans;
Hemangioma/*complications/diagnosis;
Eye Neoplasms/*complications/diagnosis;
Disease Progression;
Diagnosis, Differential;
Biopsy
- From:Korean Journal of Ophthalmology
2006;20(3):195-198
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To report the case of a patient with large-angle hypertropia of an intramuscular hemangioma of the right superior rectus muscle (SR). METHODS: A 63-year-old man with progressive vertical deviation of the right eye for the past 6 months visited our strabismus department; his condition was not painful. An examination indicated that he had 60PD of right hypertropia at distance and near in primary gaze. Additionally, a significant limitation of his downgaze was noted. The right eye appeared mildly proptotic, and the upper and lower eyelids were slightly edematous. Corrected vision was 20/20 in both eyes. RESULTS: Orbital magnetic resonance imaging (MRI) studies revealed fusiform enlargement of the right superior rectus muscle, with prominent but irregular enhancement following gadolinium administration. Incisional biopsy revealed an intramuscular hemangioma in the superior rectus muscle with cavernous-type vessels. CONCLUSIONS: This case demonstrates that intramuscular hemangioma should be considered in the differential diagnosis of isolated extraocular muscle enlargement and unusual strabismus.
