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01-07-2020 | Strabismus | Anatomic Variations

Double-bellied medial rectus muscle in a patient with Down syndrome and congenital esotropia

Authors: Marissa L. Fernández-de-Luna, Ana-Catalina Rodríguez-Martínez, Jibran Mohamed-Noriega, Cesar A. Fernández-de-Luna, Jesus Mohamed-Hamsho

Published in: Surgical and Radiologic Anatomy | Issue 7/2020

Abstract

A 13-year-old male with Down syndrome, pseudophakic secondary to congenital cataract presented with esotropia. During bilateral medial rectus recession, a unilateral two-bellied right medial rectus was identified and recessed successfully with complete resolution of the deviation. Clinicians facing a two-bellied medial rectus can consider continuing with their surgical plan.

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Deangelis DD, Kraft SP (2001) The double-bellied inferior oblique muscle: clinical correlates. J AAPOS 5(2):76–81. https://doi.org/10.1067/mpa.2001.111780 CrossRefPubMed

De Angelis D, Makar I, Kraft SP (1999) Anatomic variations of the inferior oblique muscle: a potential cause of failed inferior oblique weakening surgery. Am J Ophthalmol 128(4):485–488. https://doi.org/10.1016/s0002-9394(99)00225-1 CrossRefPubMed

Khitri MR, Demer JL (2010) Magnetic resonance imaging of tissues compatible with supernumerary extraocular muscles. Am J Ophthalmol 150(6):925–931. https://doi.org/10.1016/j.ajo.2010.06.007 CrossRefPubMedPubMedCentral

Ljubic A, Trajkovski V, Tesic M, Tojtovska B, Stankovic B (2015) Ophthalmic manifestations in children and young adults with Down syndrome and congenital heart defects. Ophthalmic Epidemiol 22(2):123–129. https://doi.org/10.3109/09286586.2015.1017652 CrossRefPubMed

Lueder GT (2002) Anomalous orbital structures resulting in unusual strabismus. Surv Ophthalmol 47(1):27–35. https://doi.org/10.1016/s0039-6257(01)00285-5 CrossRefPubMed

Nayak SB, Shetty SD, Kumar N, Aithal AP (2019) Double-bellied superior rectus muscle. Surg Radiol Anat 41(6):713–715. https://doi.org/10.1007/s00276-019-02211-0 CrossRefPubMed

Shazly TA et al (2017) Congenital entropion and hypotropia secondary to duplication of the inferior rectus muscle. J AAPOS 21(1):85–87. https://doi.org/10.1016/j.jaapos.2016.09.022 CrossRefPubMed

Title: Double-bellied medial rectus muscle in a patient with Down syndrome and congenital esotropia
Authors: Marissa L. Fernández-de-Luna
Ana-Catalina Rodríguez-Martínez
Jibran Mohamed-Noriega
Cesar A. Fernández-de-Luna
Jesus Mohamed-Hamsho
Publication date: 01-07-2020
Publisher: Springer Paris
Keywords: Strabismus
Strabismus
Cataract
Trisomy 21
Movement Limitation
Published in: Surgical and Radiologic Anatomy / Issue 7/2020
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-020-02464-0

At a glance: The STEP trials

Springer Medicine

Double-bellied medial rectus muscle in a patient with Down syndrome and congenital esotropia

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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