A Case of Esotropia in High Myopia.

Kim, Sang Kook; Cha, Sang Hoon; Choi, Mi Young

Original Article

Journal of the Korean Ophthalmological Society 2001;42(1):217-222.
Published online January 1, 2001.

A Case of Esotropia in High Myopia.

Sang Kook Kim, Sang Hoon Cha, Mi Young Choi

Department of Ophthalmology, College of Medicine, Chungbuk National University, Korea.

고도근시에 동반된 내사시 1 예

김상국(Sang Kook Kim),차상훈(Sang Hoon Cha),최미영(Mi Young Choi)

Abstract

In adult with high myopia, the cause of rare esotropia remained enigmatic and the surgical results were poor. We present a case of high myopia of -30 D with esotropia of 70 PD and limited ocular motility. A dislocation of the lateral rectus(LR)into the temporocaudal quadrant was observed intraoperatively. Therefore, bilateral recessions of medial rectus and additional fixing of the LR with a non-absorbable suture were performed to reestablish the physiological LR plane. Ocular motility was improved and alignment was achieved postoperatively. Also, the corrected pathway of the LR was verified by magnetic resonance imaging postoperatively. Therefore, the present case is reported to help understanding the pathogenesis of esotropia in high myopic patient and selecting the adequate surgical method.

Key Words: Esotropia;High myopia;MRI;Restrictive strabismus;Surgery