Successful Surgical Management of Sixth Nerve Palsy by Transposition of a Previously Snapped and Retrieved Inferior Rectus Muscle Publisher



Akbari MR¹ ; Sadeghi AM¹ ; Ghadimi H¹ ; Nikdel M¹
Source: Journal of Current Ophthalmology Published:2018

Abstract

Purpose: To report a case of intraoperative rupture of inferior rectus muscle, which was retrieved and later successfully transposed for management of sixth nerve palsy. Methods: Case report. Results: A 36-year-old woman presented with traumatic right sixth nerve palsy and esotropia following a car accident five years earlier. During the originally planned vertical transposition surgery, the inferior rectus muscle snapped, but was retrieved and resutured to the sclera 3 mm posterior to the original insertion. After a few months, the second attempt of transposition of vertical recti (including the previously snapped and reattached inferior rectus) was successful, and the patient achieved satisfactory postoperative alignment. Conclusions: Intraoperative rupture of an extraocular muscles is a rare and serious complication encountered during strabismus surgery. However, if successfully retrieved, this muscle has still the chance of future re-operation. © 2018 Iranian Society of Ophthalmology