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BRIEF COMMUNICATION
Year : 2017  |  Volume : 65  |  Issue : 1  |  Page : 62-64

Congenital dystrophic medial rectus muscles


Squint and Oculoplasty Service, Axis Eye Clinic, Pune, Maharashtra, India

Correspondence Address:
Ramesh Murthy
Axis Eye Clinic, Kumar Millenium, Ground Floor, Shivteerth Nagar, Paud Road, Kothrud, Pune - 411 038, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_537_15

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We report two patients, one with congenital dystrophic medial rectus muscles and one with absence of the medial rectus muscles; in addition, one of them had absence of the lateral rectus muscles. While absence of the superior oblique and superior rectus has been more commonly reported in literature, especially with craniofacial syndromes, our patients were nonsyndromic. Considering the risk of anterior segment ischemia, correction of the large-angle exotropia was performed by horizontal rectus muscle surgery where possible, along with transfer of the superior oblique tendon to the superior part of the normal medial rectus muscle insertion area to create a tethering effect with a good outcome.


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