The following case history chronicles a hitherto unemphasized complication of myectomy of the inferior oblique: spontaneous end-to-end reunion of its divided segments. Gross and histologic evidence is presented to demonstrate this reunion and is correlated with the patient's clinical status.
Report of Case
A 5-year-old white boy (J. H. H. #110 43 83) had, at age 3, the onset of exotropia a few weeks after falling from a third story window. He had sustained a skull fracture, transient left third nerve palsy, and depression of the left orbital roof.The patient was subsequently seen in the Wilmer Clinic on four occasions for confirmation of his orthoptic findings. Vision was 20/30 bilaterally without correction. Retinoscopy utilizing atropine cycloplegia demonstrated emmetropia OD and +1.00 D cylinder axis 90° OS. Fixation was central and steady OU with OD preference, but fixation could be held with OS. Ductions were full OU. Testing of
GOLDBERG MF, MILAUSKAS AT. Spontaneous Reunion of a Myectomized Inferior Oblique. Arch Ophthalmol. 1965;74(1):19-22. doi:10.1001/archopht.1965.00970040021005