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Article
December 1950

ADHERENCE SYNDROMEPseudoparalysis of the Lateral or Superior Rectus Muscles

Author Affiliations

CLEVELAND
From the Western Reserve University School of Medicine, and the Department of Surgery, Ophthalmological Service of the University Hospitals of Cleveland.

AMA Arch Ophthalmol. 1950;44(6):870-878. doi:10.1001/archopht.1950.00910020883009
Abstract

ADHERENCE of the lateral rectus to the insertion of the inferior oblique muscle has been observed by many surgeons. After my demonstration of such an adherence at the 1946 meeting of the American College of Surgeons, in Cleveland, Dr. Bruce Fralick expressed it as his opinion that such an adherence might be postinflammatory, a view also expressed by Dr. Virgil Casten and Dr. Albert Ruedemann. Dr. Walter H. Fink1 appears to have made the only recorded mention of this anomaly, when he stated:

... In addition to the above [the insertion of the inferior oblique was unusually long and surrounded the optic nerve], it seems advisable to mention that on two occasions during operation, a fusion of the inferior oblique and the lateral rectus was noted. This anomaly apparently attributed [sic] to the unusual type of strabismus noted in the patient pre-operatively. Whitnall did not note any anomalies in the

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