Korean J Ophthalmol.  2001 Dec;15(2):133-136. 10.3341/kjo.2001.15.2.133.

Motility restriction after resection of an extraocular muscle

Affiliations
  • 1Department of Ophthalmology, Inje University Sanggye Paik Hospital, Seoul, Korea.

Abstract

Restriction of eye movement after surgery is an unusual but troublesome complication. A patient presented with a limitation of abduction after a 5 mm resection of medial rectus muscle and an 8 mm recession of lateral rectus muscle. Since the forced duction test was positive, restrictive factors were suggested to be implicated. A reparative operation was performed at the postoperative 9 month, and the forced duction test was negative after releasing the resected medial rectus muscle. The patient showed an improved abduction after recessing the resected muscle. Even after an uneventful surgery, resection of an extraocular muscle may cause restriction of ocular rotation caused by muscle scarring to the sclera or by an increased tightness of the muscle.

Keyword

extraocular muscle; resection; restriction

MeSH Terms

Adolescent
Case Report
Exotropia/*surgery
*Eye Movements
Human
Male
Ocular Motility Disorders/*etiology/*physiopathology
Oculomotor Muscles/*physiopathology/*surgery
Ophthalmologic Surgical Procedures/*adverse effects
Postoperative Period
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