Rupture of the extraocular muscle in the absence of significant injury to the eyeball and adnexa is uncommon. The authors report a case of blunt trauma of the eyeball associated with an inferior oblique muscle and an inferior rectus muscle rupture. A 55-year-old man slipped and fell down hitting his eye on an extended windshield wiper blade. Although he had treatment in the emergency room, he c...

To the Editors: Ocular motility problems related to congenital abnormalities of the extraocular muscles are rare. Such congenital abnormalities may present in a spectrum from accessory additional rectus muscles to the absence of extraocular muscles.1-5 Absence of one or more extraocular muscles is a rare condition usually seen in association with craniofacial syndromes. We present a case of bil...

PURPOSE To describe the clinical manifestations of subtypes of double elevator palsy and to report the outcomes of surgery in these patients. METHODS This retrospective study was conducted on hospital records of patients with double elevator palsy at Labbafinejad Medical Center over a ten-year period from 1994 to 2004. Patients were classified into three subgroups of primary elevator muscle p...

INTRODUCTION Endoscopic sinus surgery can result in serious extraocular muscle dysfunction. The medial rectus muscle is more frequently affected than other extraocular muscles. METHODS A transconjunctival subperiosteal medial orbitotomy was successful in retrieving a partially extirpated medial rectus muscle after endoscopic sinus surgery. RESULTS A previous attempt to localize this muscle ...

PURPOSE Overcorrection of hypotropia subsequent to adjustable suture surgery following inferior rectus recession is undesirable, often resulting in persistent diplopia and reoperation. I hypothesized that overcorrection shift after suture adjustment may be unique to thyroid eye disease, and the use of a nonabsorbable suture may reduce the occurrence of overcorrection. METHODS A retrospective ...

The Authors Reply We appreciate the clinical and radiological comments by Tsuda, concerning partial oculomotor fascicular paresis in our patient (1). He proposed the possibility that the left medial longitudinal fasciculus (MLF) syndrome and palsy of the right inferior rectus muscle were present in our patient. The red glass test and Hess chart were performed in our patient. These results revea...

We compared the spatial organization patterns of linear and angular vestibuloocular reflexes in frogs by recording the multiunit spike activity from cranial nerve branches innervating the lateral rectus, the inferior rectus, or the inferior obliquus eye muscles. Responses were evoked by linear horizontal and/or vertical accelerations on a sled or by angular accelerations about an earth-vertical...