1.Traumatic Rupture of the Superior Oblique Muscle Tendon.
Hye Jin CHUNG ; Ji Won BAEK ; Young Chun LEE
Korean Journal of Ophthalmology 2014;28(3):265-267
Traumatic rupture of the superior oblique muscle is rare. We report a case of a 54-year-old man injured by the metal hook of a hanger, resulting in a rupture of the superior oblique muscle tendon. He complained of torsional diplopia when in the primary position. The distal margin of the superior oblique muscle was reattached to sclera 5 and 9 mm apart from the medial insertion of the superior rectus muscle. One week after the operation, torsional diplopia disappeared. However, a 4-prism diopter ipsilateral hypertropia was observed. Three months later, hypertropia gradually increased to 20 prism dioptors and the second operation was done to correct vertical diplopia.
Diplopia/etiology/physiopathology/surgery
;
Eye Injuries/complications/*diagnosis/surgery
;
*Eye Movements
;
Humans
;
Male
;
Middle Aged
;
Oculomotor Muscles/*injuries/physiopathology/surgery
;
Ophthalmologic Surgical Procedures/*methods
;
Strabismus/etiology/physiopathology/surgery
;
Tendon Injuries/complications/*diagnosis/surgery