J Korean Ophthalmol Soc.
2001 Jan;42(1):217-222.
A Case of Esotropia in High Myopia
- Affiliations
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- 1Department of Ophthalmology, College of Medicine, Chungbuk National University, Korea.
Abstract
- In adult with high myopia, the cause of rare esotropia remained enigmatic and the surgical results were poor. We present a case of high myopia of -30 D with esotropia of 70 PD and limited ocular motility. A dislocation of the lateral rectus(LR)into the temporocaudal quadrant was observed intraoperatively. Therefore, bilateral recessions of medial rectus and additional fixing of the LR with a non-absorbable suture were performed to reestablish the physiological LR plane. Ocular motility was improved and alignment was achieved postoperatively. Also, the corrected pathway of the LR was verified by magnetic resonance imaging postoperatively. Therefore, the present case is reported to help understanding the pathogenesis of esotropia in high myopic patient and selecting the adequate surgical method.
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