Modified Muscle Transposition Procedure for a Case of Inferior Rectus Muscle Aplasia

PURPOSE: We report a case of inferior rectus muscle aplasia in a 65-year-old woman. METHODS: Images were obtained using ocular motility photography and magnetic resonance imaging (MRI), and operative findings were analyzed. RESULTS: A 65-year-old woman presented with marked right hypertropia. The ri...

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Autores principales: Makino, Shinji, Hozawa, Kozue, Kondo, Reiko, Kanai, Mika, Suto, Haruko, Mawatari, Go, Ito, Kanako
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2014
Materias:
Published online: January, 2015
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4327550/
https://www.ncbi.nlm.nih.gov/pubmed/25852539
http://dx.doi.org/10.1159/000371508
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author Makino, Shinji
Hozawa, Kozue
Kondo, Reiko
Kanai, Mika
Suto, Haruko
Mawatari, Go
Ito, Kanako
author_facet Makino, Shinji
Hozawa, Kozue
Kondo, Reiko
Kanai, Mika
Suto, Haruko
Mawatari, Go
Ito, Kanako
author_sort Makino, Shinji
collection PubMed
description PURPOSE: We report a case of inferior rectus muscle aplasia in a 65-year-old woman. METHODS: Images were obtained using ocular motility photography and magnetic resonance imaging (MRI), and operative findings were analyzed. RESULTS: A 65-year-old woman presented with marked right hypertropia. The right eye also had microcornea, iris coloboma, and completely restricted downward movement. MRI showed absence of the inferior rectus muscle in both eyes. During surgery, it was confirmed that the right inferior rectus muscle was absent. The patient underwent a muscle transposition procedure without tenotomy or muscle splitting. A superior rectus muscle tenotomy was also performed. Postoperatively, the right eye showed hypotropia and improved downward movement. CONCLUSION: Muscle transposition without tenotomy or tendon splitting is a surgical option for the unusual abnormality presented in this paper.
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spelling pubmed-43275502015-04-07 Modified Muscle Transposition Procedure for a Case of Inferior Rectus Muscle Aplasia Makino, Shinji Hozawa, Kozue Kondo, Reiko Kanai, Mika Suto, Haruko Mawatari, Go Ito, Kanako Case Rep Ophthalmol Published online: January, 2015 PURPOSE: We report a case of inferior rectus muscle aplasia in a 65-year-old woman. METHODS: Images were obtained using ocular motility photography and magnetic resonance imaging (MRI), and operative findings were analyzed. RESULTS: A 65-year-old woman presented with marked right hypertropia. The right eye also had microcornea, iris coloboma, and completely restricted downward movement. MRI showed absence of the inferior rectus muscle in both eyes. During surgery, it was confirmed that the right inferior rectus muscle was absent. The patient underwent a muscle transposition procedure without tenotomy or muscle splitting. A superior rectus muscle tenotomy was also performed. Postoperatively, the right eye showed hypotropia and improved downward movement. CONCLUSION: Muscle transposition without tenotomy or tendon splitting is a surgical option for the unusual abnormality presented in this paper. S. Karger AG 2014-01-13 /pmc/articles/PMC4327550/ /pubmed/25852539 http://dx.doi.org/10.1159/000371508 Text en Copyright © 2015 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published online: January, 2015
Makino, Shinji
Hozawa, Kozue
Kondo, Reiko
Kanai, Mika
Suto, Haruko
Mawatari, Go
Ito, Kanako
Modified Muscle Transposition Procedure for a Case of Inferior Rectus Muscle Aplasia
title Modified Muscle Transposition Procedure for a Case of Inferior Rectus Muscle Aplasia
title_full Modified Muscle Transposition Procedure for a Case of Inferior Rectus Muscle Aplasia
title_fullStr Modified Muscle Transposition Procedure for a Case of Inferior Rectus Muscle Aplasia
title_full_unstemmed Modified Muscle Transposition Procedure for a Case of Inferior Rectus Muscle Aplasia
title_short Modified Muscle Transposition Procedure for a Case of Inferior Rectus Muscle Aplasia
title_sort modified muscle transposition procedure for a case of inferior rectus muscle aplasia
topic Published online: January, 2015
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4327550/
https://www.ncbi.nlm.nih.gov/pubmed/25852539
http://dx.doi.org/10.1159/000371508
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