A 50-year-old man with a long-standing, large-angle exotropia and limitation of adduction in the left eye

Main Article Content

Reshma A. Mehendale, MD
Anat O. Stemmer-Rachamimov, MD
Linda R. Dagi, MD

Abstract

A 50-year-old man was referred for management of a long-standing, large-angle exotropia and limitation of adduction in the left eye. He had a history of poor vision in the left eye since childhood and 4 previous strabismus procedures. The most recent strabismus surgery was 38 years before presentation. Prior records were unavailable, and the patient could not recall any details pertaining to his earlier procedures or alignment in childhood. His wife did not report any recent change in his appearance or alignment.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Mehendale RA, Stemmer-Rachamimov AO, Dagi LR. A 50-year-old man with a long-standing, large-angle exotropia and limitation of adduction in the left eye. Digit J Ophthalmol. 2013;19(4):64-67. doi:10.5693/djo.03.2013.09.004
Section
Grand Rounds

References

Shields JA, Shields CL. Orbital cysts of childhood—classification, clinical features, and management. Surv Ophthalmol 2004;49:281-99. DOI: https://doi.org/10.1016/j.survophthal.2004.02.001

Rose GE, O’Donnell BA. Congenital orbital cysts associated with the common sheath of superior rectus and levator palpebrae superioris muscles. Ophthalmology 1995;102:135-8. DOI: https://doi.org/10.1016/S0161-6420(95)31068-8

Metz HS, Searl S, Rosenberg P, Sterns G. Giant orbital cyst after strabismus surgery. J AAPOS 1999;3:185-7. DOI: https://doi.org/10.1016/S1091-8531(99)70065-0

Cibis GW, Waeltermann JM. Muscle inclusion cyst as a complication of strabismus surgery. Am J Ophthalmol 1985;100:740-1. DOI: https://doi.org/10.1016/0002-9394(85)90637-3

Kushner BJ. Subconjunctival cysts as a complication of strabismus surgery. Arch Ophthalmol 1992;110:1243-5. DOI: https://doi.org/10.1001/archopht.1992.01080210061025

Song JJ, Finger PT, Kurli M, Wisnicki HJ, Iacob CE. Giant secondary conjunctival inclusion cysts: a late complication of strabismus surgery. Ophthalmology 2006;113:1049.e1041-2. DOI: https://doi.org/10.1016/j.ophtha.2006.02.031

Guadilla AM, de Liaño PG, Merino P, Franco G. Conjunctival cysts as a complication after strabismus surgery. J Pediatr Ophthalmol Strabismus 2011;48:298-300. DOI: https://doi.org/10.3928/01913913-20100818-02

Curtis TH, Stout AU, Drack AV, Durairaj VD. Giant orbital cysts after strabismus surgery. Am J Ophthalmol 2006;142:697-9. DOI: https://doi.org/10.1016/j.ajo.2006.04.045

Hawkins AS, Hamming NA. Thermal cautery as a treatment for conjunctival inclusion cyst after strabismus surgery. J AAPOS 2001;5:48-9. DOI: https://doi.org/10.1067/mpa.2001.111779

Kothari M. A novel method for management of conjunctival inclusion cysts following strabismus surgery using isopropyl alcohol with paired injection technique. J AAPOS 2009;13:521-2. DOI: https://doi.org/10.1016/j.jaapos.2009.07.006

Pereira LS, Hwang TN, McCulley TJ. Marsupialization of orbital conjunctival inclusion cysts related to strabismus surgery. J Pediatr Ophthalmol Strabismus 2009;46:180-1. DOI: https://doi.org/10.3928/01913913-20090505-13