A case is reported of a 14-year-old with inferior oblique muscle adherence and fat adherence following unilateral inferior oblique (IO) anteriorisation. Following surgery, the patient developed consecutive esotropia, ptosis and marked limitation of laevoelevation. Forced duction test was positive for elevation. The IO was found anterior to the inferior rectus insertion along with fat adhesions, which were released. The IO muscle was reattached 3mm behind and 2mm lateral to the IR insertion along with lateral rectus advancement. The initial postoperative improvement was not maintained with recurrence of hypotropia.
Inferior oblique adherence syndrome
Reviewed by Fiona Rowe
Adherence syndrome following inferior oblique anteropositioning – a case report.
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
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