History:  This 52-year-old man sustained trauma to the superior part of the right globe one month ago.  He was treated originally by an ophthalmologist who briefly explored the superior aspect of the globe, but being unable to continue stopped and referred the patient for further care.  Visual acuity is OD 20/30, OS 20/20.  Refraction is OD +1.00 sphere, OS +1.00 sphere. As shown in the pictures, the right eye does not elevate above the midline. Forced ductions done at the time of the first surgical attempt were said to be unrestricted to elevation.  The presumptive diagnosis is traumatic disinsertion of the right superior rectus.

Diagnosis:  traumatic disinsertion of the superior rectus

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