Ramanitrarivo V L, Raobela L, Rakotovao N D, Andriamaro I R, Louvet D, Bernardin P, Andriantsoa V
Service d'ophtalmologie, centre hospitalier de Soavinandriana (CenHoSoa), BP 6 bis, 101 Antananarivo, Madagascar.
J Fr Ophtalmol. 2011 May;34(5):327.e1-4. doi: 10.1016/j.jfo.2010.10.023. Epub 2011 Apr 14.
We report a rare case of double disinsertion of inferior and medial rectus muscles of the left eye. After injury, the patient presented ocular ascension. The eye's position made the clinical examination difficult. The patient underwent two surgical treatments to find and reattach the deficient muscles. In spite of a laborious search, we obtained a good anatomic result. Oculomotor disorders require orthoptic training. To avoid diagnostic errors and to reduce oculomotor after effects, vigilance is required during examination.
我们报告了一例罕见的左眼内直肌和下直肌双离断病例。受伤后，患者出现眼球上移。眼球位置使得临床检查困难。患者接受了两次手术治疗，以寻找并重新附着缺失的肌肉。尽管经过了艰苦的探查，我们还是获得了良好的解剖学结果。动眼障碍需要进行视轴矫正训练。为避免诊断错误并减少动眼后遗症，检查时需要保持警惕。
