Inferior oblique transposition for large hypertropia after vertical rectus transposition

Consecutive vertical deviations occur in 13% to 30% of cases after full tendon vertical rectus transposition (VRT) surgery in adult patients with abducens nerve palsy. We report a 7-year-old boy with congenital abducens nerve palsy who developed a large hypertropia following VRT with posterior fixat...

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Bibliographic Details
Published inJournal of AAPOS Vol. 17; no. 3; pp. 312 - 314
Main Authors Tibrewal, Shailja, MS, Pehere, Niranjan, DNB, Sachdeva, Virender, MS, Kekunnaya, Ramesh, MD, FRCS
Format Journal Article
LanguageEnglish
Published United States Mosby, Inc 01.06.2013
Subjects
Abducens Nerve Diseases - congenital
Abducens Nerve Diseases - surgery
Amblyopia - diagnosis
Amblyopia - surgery
Child
Eye Movements - physiology
Humans
Male
Oculomotor Muscles - surgery
Ophthalmologic Surgical Procedures
Ophthalmology
Refraction, Ocular
Strabismus - diagnosis
Strabismus - etiology
Strabismus - surgery
Suture Techniques
Tendon Transfer
Vision, Binocular - physiology
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Summary:Consecutive vertical deviations occur in 13% to 30% of cases after full tendon vertical rectus transposition (VRT) surgery in adult patients with abducens nerve palsy. We report a 7-year-old boy with congenital abducens nerve palsy who developed a large hypertropia following VRT with posterior fixation sutures. During subsequent surgery, extensive scarring of the vertical rectus muscles was observed, and an inferior oblique nasal anterior transposition was performed. The patient was orthotropic in primary position through 18 months of follow-up. The causes and management options for vertical deviation following VRT are discussed.
Bibliography:ObjectType-Case Study-2
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ISSN:1091-8531
1528-3933
DOI:10.1016/j.jaapos.2012.12.154