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CASE REPORTS
Year : 2021  |  Volume : 1  |  Issue : 2  |  Page : 360-362

Temporal hemi-transposition of a split medial rectus muscle: A novel technique for the management of complete lateral rectus palsy


1 Department of Paediatric Ophthalmology, Jyotirmay Eye Clinic and Ocular Motility Laboratory, Thane; Department of Paediatric Ophthalmology, Mahatme Eye Hospital, Nagpur, Maharashtra, India
2 Department of Paediatric Ophthalmology, Jyotirmay Eye Clinic and Ocular Motility Laboratory, Thane, Maharashtra, India

Correspondence Address:
Dr. Mihir Kothari
Jyotirmay Eye Clinic, 104/105 Kaalika Tower, Opp. Pratap Cinema, Kolbad Road, Thane West - 400 601, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_1071_20

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A 9-year-old boy with complete lateral rectus palsy, following the treatment for his embryonal rhabdomyosarcoma of the right lateral rectus muscle, underwent temporal hemi-transposition of lower 2/3rd of medial rectus muscle beneath the inferior rectus muscle. Satisfactory alignment and resolution of diplopia was achieved postoperatively. He developed staphylococcal scleromalacia after surgery that was successfully managed with scleral patch graft, oral and topical antibiotics, and steroids.


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