History:  This is a 42-year-old man that presented with a longstanding diplopia that first appeared 11 years ago after he was accidentally struck with a metal stick below the left eye.  After this incident he developed a left hypertropia and diplopia. His visual acuity is 20/20 in each eye.  Biomicroscopy shows a conjunctival scar involving the nasal and inferior quadrant of the bulbar conjunctiva of the left eye.  There is limitation of infraduction in the left eye.  Diagnosis:  traumatic disinsertion of the inferior rectus

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