The authors present an unorthodox surgical approach to reach the posterior segment of the lateral rectus muscle through a lateral orbitotomy and to manage difficult cases of recurrent exotropia. A review of the records of two patients with recurrent exotropia was done. After an anterior approach had been demonstrated to be inadequate due to shortening or fibrosis of the anterior part of this mu...

purpose: to investigate demographic, clinical and histopathologic features of consecutive exotropia. methods: patients with consecutive exotropia who underwent surgery in farabi hospital between september 2014 and april 2015 were enrolled in this study. after complete ophthalmologic examination and far and near deviation measurement, all patients with negative forced duction test underwent 4-mm...

purpose : to evaluate outcome of surgically slanting extraocular muscle insertions in a and v-pattern strabismus methods : in this prospective non-randomized interventional case series, we created a slanting surgical reinsertion line with a 3- 4 mm difference between upper and lower corners of the muscles in 16 patients with a or v strabismus (v-exotropia in 10 patients, a-exotropia in 1 patien...

Purpose: We report a case of cavernous sinus meningioma presenting with unilateral pseudo-internuclear ophthalmoplegia.Case summary: A 50-year-old female visited our clinic history insidious onset horizontal diplopia at primary and left gaze over 3 weeks. The symptom had diurnal variation was aggravated fatigue. There intermittent upper eyelid drooping the right eye. She migraines, which recent...

purpose : the aim of this study is to evaluate the effectiveness of intraoperative botulinum toxin-a (bta) injection as an adjunct to the surgical treatment of large-angle esotropia or exotropia. methods : thirteen patients were included in this interventional case series study. mean age of the patients was 23.31±13.29 years (range: 5-43 years). of these 13 patients, 6 were exotropic and 7 were...

purpose: to describe three cases of exotropic mobius syndrome and to report outcomes of the surgical intervention. case reports: three patients including two boys and one girl were referred to our strabismus clinic. all had masked faces and non-progressive congenital bilateral facial palsy and dry eye. other abnormalities included large angle exotropia and bilateral horizontal gaze palsy. surgi...

A 66-year-old female presented with exotropia and hypertropia of her left eye. She had a previous history of lateral rectus recession and medial rectus resection of her left eye 20 years prior to old oculomotor and trochlear nerve pareses. She was treated with a botulinum toxin injection in the inferior oblique and lateral rectus muscles of her affected eye. In this case, the patient’s exotropi...