Chang Yoon-Hee, Yeom Ho-Yeop, Han Sueng-Han
Department of Ophthalmology, Ajou University School of Medicine, Suwon, Korea.
Ophthalmic Surg Lasers Imaging. 2005 Sep-Oct;36(5):419-21.
A 55-year-old woman was referred with a 4-month history of diplopia following functional endoscopic ethmoidectomy for chronic sinusitis. She had right hypertropia of 14 prism diopters in the primary position that increased to 30 prism diopters in down gaze. Her right eye showed a moderate limitation of motion in down gaze. Orbital imaging demonstrated a snapped right inferior rectus muscle. The inferior oblique muscle was transposed as an initial treatment for the snapped inferior rectus muscle. After surgery, the patient was orthophoric and obtained fusion in the primary position.
一名55岁女性因慢性鼻窦炎接受功能性鼻内镜筛窦切除术后出现复视4个月而前来就诊。她在第一眼位时右眼上斜视14棱镜度，向下注视时增加到30棱镜度。她的右眼在向下注视时运动有中度受限。眼眶影像学检查显示右侧下直肌断裂。作为初始治疗，将下斜肌移位以修复断裂的下直肌。手术后，患者眼位正位，在第一眼位获得融合。
