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Reading: Inferior rectus muscle palsy with constant diplopia following orbito-facial trauma

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Case Report

Inferior rectus muscle palsy with constant diplopia following orbito-facial trauma

Authors:

Mohammed G. Zayed ,

Ophthalmology Department, Royal Hallamshire Hospital, Sheffield
About Mohammed G.
MB BCh
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Hibba x Hibba Quhill,

Ophthalmology Department, Royal Hallamshire Hospital, Sheffield
About Hibba x Hibba
MB BCh
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John P. Burke

Ophthalmology Department, Royal Hallamshire Hospital, Sheffield
About John P.
FRCOphth
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Abstract

Aim: To present the management and outcome of a case of severe orbito-facial trauma secondary to an angle grinder injury that resulted in an isolated inferior rectus palsy, orbital soft tissue sequelae and constant diplopia.

Methods and results: A functionally useful field of binocular single vision (BSV score = 45%) centred around the primary position was achieved following three surgical procedures and much interdisciplinary communication during surgical planning and rehabilitation.

Conclusion: The resolution of constant diplopia coupled with a reduced, central field of BSV sufficient to enable daily living activities may be a ‘best’ outcome and potentially achievable goal in similar trauma-associated strabismus entities.

DOI: https://doi.org/10.22599/bioj.86
How to Cite: Zayed, M.G., Quhill, H. x H. and Burke, J.P., 2014. Inferior rectus muscle palsy with constant diplopia following orbito-facial trauma. British and Irish Orthoptic Journal, 11, pp.50–52. DOI: http://doi.org/10.22599/bioj.86
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Published on 01 Aug 2014.
Peer Reviewed

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