An Uncommon Case of Isolated Superior Rectus Palsy

Mendonca, Teena Mariet; Suprasanna, K; Rodrigues, Gladys R; Pai, Shobha G

doi:10.1055/s-0040-1709367

Cited by 6 publications

(4 citation statements)

References 5 publications

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“…However, sometimes the cause of superior rectus paralysis is unknown. In children, trauma is one of the most common causes of superior rectus palsy 5 .…”

Section: Discussionmentioning

confidence: 99%

Congenital palsy of the superior rectus muscle - case report

2023

Ophthalmology Cases & Hypotheses

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Superior rectus muscle palsy is a rare ocular condition that can lead to vertical diplopia and restricted eye movement. We present a case of a 8-year-old child who presented with complaints of difficulty in looking upward. The purpose of this case report is to highlight the clinical presentation, diagnostic workup, management strategies, and the final outcome of a patient with superior rectus muscle palsy.

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“…However, sometimes the cause of superior rectus paralysis is unknown. In children, trauma is one of the most common causes of superior rectus palsy 5 .…”

Section: Discussionmentioning

confidence: 99%

Congenital palsy of the superior rectus muscle - case report

2023

Ophthalmology Cases & Hypotheses

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“…Ten articles were ultimately included for data extraction. [1][2][3][5][6][7][11][12][13][14][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35]…”

Section: Literature Reviewmentioning

confidence: 99%

“…10 Expedient surgical intervention for reduction or removal of orbital bone fragments and decompression of the orbit is paramount for improved visual, functional, and cosmetic outcomes, though cases of conservative management have also been reported. 5,[11][12][13][14] 15,16 Since then, several additional cases have been reported; however, literature regarding the ophthalmologic outcomes of blow-in fractures is sparse. To date, our case series of 3 patients is the first series to specifically investigate compression of the globe by bone fragments in orbital blow-in fractures.…”

mentioning

confidence: 99%

“…10 Expedient surgical intervention for reduction or removal of orbital bone fragments and decompression of the orbit is paramount for improved visual, functional, and cosmetic outcomes, though cases of conservative management have also been reported. 5,11–14 Dingman et al and Lighterman et al reported the first and second known cases of a blow-in fracture nearly 40 years ago. 15,16 Since then, several additional cases have been reported; however, literature regarding the ophthalmologic outcomes of blow-in fractures is sparse.…”

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confidence: 99%

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Globe Compression by Bone Fragments in Orbital Blow-in Fractures: A Case Series and Systematic Review

Park

North

Rebhun

et al. 2022

Ophthalmic Plastic &Amp; Reconstructive Surgery

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The purpose of this study was to describe the clinical characteristics, management, and outcomes of orbital blow-in fractures involving compression of the globe by bone fragments.Methods: A retrospective case series and systematic literature review were performed.Results: Three male patients (mean age 29 years) with orbital blow-in fractures causing globe indentation presented with extraocular movement restriction, choroidal folds, and B-scan ultrasonography demonstrating deformation of the globe contour by a hyperechoic bone fragment. All underwent surgical repair within 1 day of presentation resulting in improved visual outcomes. An additional 10 cases were identified in the literature review. The majority of patients were male (80%) with a mean age of 29 years. Fractures originated primarily from the lateral orbital wall (50%) or the orbital roof (40%). Globe compression was evident on CT of the orbit (100%) and ultrasonography (30%). Common presenting signs included decreased visual acuity (70%), restriction of supraduction (40%) or abduction (40%), choroidal folds (30%), brow laceration (40%), periorbital edema (40%), and hypoglobus (40%). Most patients underwent surgical intervention (80%) involving fracture reduction (50%) or fragment removal (38%). Reported postsurgical outcomes were excellent with resolution of diplopia, motility, and visual acuity.Conclusion: Globe indentation from blow-in fractures are rare. Clinicians should be suspicious in cases of high-velocity trauma to the superolateral orbit with hypoglobus, motility limitation, and indentation of the globe upon dilated exam. Prompt diagnosis and early surgical removal of the compressive orbital bone fragments in a multidisciplinary fashion can lead to good visual, functional, and cosmetic outcomes.

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