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Strabismus - Traumatic Disinsertion of the Inferior Rectus
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Lecture 8 of 38 NEXT»
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History: This 9-year-old girl suffered trauma to the left eye 1 month earlier when she fell striking the top of a fence post. The conjunctiva and lower lid of the left eye were abraided but no frank conjunctival laceration was noted. After the swelling subsided in a few days, the family noted that the left eye was higher and the left lower lid was lower. Prior to the injury, this child's eyes were said to be normal. Vision is 20/20 in each eye, refraction is +0.5 D in each eye and except for the motility disturbance, and some "roughness" of the conjunctiva inferiorly in the left eye both eyes are normal. The girl complains of vertical diplopia. The family is eager to have the eye's realigned.
Diagnosis: traumatic disinsertion of the inferior rectus
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