Traumatic Rupture of the Superior Oblique Muscle Tendon.
10.3341/kjo.2014.28.3.265
- Author:
Hye Jin CHUNG
1
;
Ji Won BAEK
;
Young Chun LEE
Author Information
1. HanGil Eye Hospital, Incheon, Korea.
- Publication Type:Case Reports
- Keywords:
Diplopia;
Reattachment;
Strabismus;
Superior oblique rupture;
Wounds and injuries
- MeSH:
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
- From:Korean Journal of Ophthalmology
2014;28(3):265-267
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
