Traumatic rupture of the lateral rectus

O'Toole, Louise; Long,; Power, William; O'Connor, M B

doi:10.1038/sj.eye.6700592

Cited by 16 publications

(14 citation statements)

References 4 publications

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“…However, ruptured muscle loses its power and usually shows restriction of ocular movement even after [1]. Other treatment options are muscle-to-muscle anastomosis with hang-back adjustable sutures [7] or with postoperative botulinum toxin injection to the antagonist muscle [5]. Additionally, intraoperative botulinum injections for better correction have been reported by McManaway et al [6].…”

Section: Discussionmentioning

confidence: 99%

Recession–resection combined with intraoperative botulinum toxin A chemodenervation for exotropia following subtotal ruptured of medial rectus muscle

Hong

Lee

Han

2006

Graefe's Arch Clin Exp Ophthalmol

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Section: Discussionmentioning

confidence: 99%

Recession–resection combined with intraoperative botulinum toxin A chemodenervation for exotropia following subtotal ruptured of medial rectus muscle

Hong

Lee

Han

2006

Graefe's Arch Clin Exp Ophthalmol

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“…It is thought that, sudden severe rotation of the globe, anterior displacement of the eyeball and rapid rise in intraocular pressure leading to expulsion of optic nerve out of scleral canal can cause optic nerve avulsion [3]. The luxation of the globe is seen rarely and following trauma medial rectus is the most frequently ruptured extraocular muscle [5,6]. Our patient had a trauma from medial wall of the globe and the crane lifting chain displaced the globe anteriorly.…”

Section: Discussionmentioning

confidence: 76%

An Unusual Presentation of Optic Disc Drusen with Optic Nerve Avulsion

Alim¹

2016

OCR

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“…4 Isolated transection of the lateral rectus has been very infrequently reported compared to the medial rectus. [5][6][7] Our case highlights some important clinical lessons about this rare presentation.…”

Section: Introductionmentioning

confidence: 71%

Traumatic Transection of the Lateral Rectus Muscle with Chorioretinitis Sclopetaria

2015

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A man, aged 67 years, sustained monocular trauma to the left eye while gardening, presenting with light perception, complete absence of abduction, and chorioretinitis sclopetaria. At surgery, the lateral rectus was found to be transected at the equator of the globe, with an area of locally abraded sclera. A few posterior muscle fibers were identified and sutured to the residual anterior fibers. With a partial improvement of the esodeviation, after a further 6 months he proceeded to lateral transposition of the superior and inferior recti to healthy sclera 4 mm from the limbus, with adjunctive medial rectus botulinum toxin. Six months later, the angle of primary deviation remained stable at 4 prism diopters base out with improved abduction. Vision in the eye remained reduced at 20/200 (with eccentric fixation) due to macular changes secondary to the sclopetaria. In conclusion, this case describes a rare example of complete traumatic transection of the lateral rectus with chorioretinitis sclopetaria, due to orbital injury. With appropriate surgery, the angle of deviation can be considerably improved despite complete muscle transection and scleral injury.

show abstract

Traumatic rupture of the lateral rectus

Cited by 16 publications

References 4 publications

Recession–resection combined with intraoperative botulinum toxin A chemodenervation for exotropia following subtotal ruptured of medial rectus muscle

Recession–resection combined with intraoperative botulinum toxin A chemodenervation for exotropia following subtotal ruptured of medial rectus muscle

An Unusual Presentation of Optic Disc Drusen with Optic Nerve Avulsion

Traumatic Transection of the Lateral Rectus Muscle with Chorioretinitis Sclopetaria

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