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Case of the week 164  ( March 2014 )

Esotropia and hypotropia of the blind eye


This 18 years old patient had a traumatic macular scar of the left since she was a child. She never regained good vision. Now she has an edotropia and hypotropia of the left eye. She would like to have her eyes ‘straightened.’

Vision: OD 20/20, OS light perception
Refraction: OD plano 
               OS +1.00


Esotropia and hypotropia of the blind eye

Aligning a non-seeing eye is a legitimate undertaking using the dictum ‘every humans has the right to look like a human’. Surgery should be restricted whenever possible to the poorer seeing eye. A logical choice for surgery would be:
1) Resection of the left lateral rectus 8.0 mm with 1/3 muscle width upshift
2) Recession of the left medial rectus 5.0 mm with 1/3 muscle width upshift

The upshift of both of the horizontal recti in the left eye will have some effect on elevatinging the hypo deviated left eye.
Preoperative Postoperative


الموقع المصري للحول وامراض الجهاز الحركي للعين

The Egyptian Site of Strabismus & Oculomotor Disorders