외상으로 인해 발생한 독립된 하직근 파열 환자에서 즉각적인 수술적 치험 1예

• 영문명: A Case of Immediate Surgical Repair in Traumatic Isolated Inferior Rectus Muscle Rupture
• 발행기관: 대한안과학회
• 저자명: 이보람(Bo Ram Lee) 임기환(Key Hwan Lim)
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume58,number2, 235~239쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2017.02.28

영문 초록

Purpose: We report a case of infraduction limitation improvement and orthotropia at primary position in a patient with traumatic isolated inferior rectus muscle rupture after immediate repair surgery of the ruptured muscle. Case summary: A 47-year-old man came to our emergency department complaining of right eyelid contusion and conjunctival laceration after trauma due to the metal part of a high pressure hose. Right hypertropia of 20 prism diopters was observed at primary gaze and right hypertropia of 30 prism diopters was observed at down gaze. The right eye showed a -4 infraduction limitation. We sutured the distal part of the ruptured inferior rectus muscle with surrounding tissue, including the Tenon’s capsule and the part of the muscle stump, to its original insertion. Orthotropia at primary position and 8-prism-diopters of right hypertropia on down gaze was observed one day after surgery. At 40 days after surgery, the patient had orthotropia at primary position and 4-prism-diopter right hypertropia on down gaze. Infraduction limitation of the right eye improved to -1. Conclusions: Immediate repair of complete traumatic isolated inferior rectus muscle rupture can correct the limitation of extraocular movement and achieve orthotropia at primary position.

키워드

Inferior rectus muscle rupture Strabismus surgery Trauma