PMC5015790_01
State at presentation
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F1
Proximal and distal ends of lacrimal canaliculi
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F2
On examination, he had an injury to the lower lid involving the lacrimal canal (Figure 2 (Fig. 2)), a tear in the conjunctiva, and a ruptured inferior rectus muscle (Figure 3 (Fig. 3)). The lacrimal canal was repaired using the Teflon sleeve of a 22G Intracath (Figure 2 (Fig. 2)), which was left in place for 6 weeks.
Proximal and distal ends of inferior rectus muscle
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F3
On examination, he had an injury to the lower lid involving the lacrimal canal (Figure 2 (Fig. 2)), a tear in the conjunctiva, and a ruptured inferior rectus muscle (Figure 3 (Fig. 3)). We found the proximal end of the inferior rectus muscle and sutured it to the distal end, achieving proper strength, as detected by orthophoria in the primary position and inferior movements at the end of the repair (Figure 3 (Fig. 3)).
Presentation with hypertropia after 3 years of repair
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F4
Patient presented to us again with complaint of diplopia after 3 years, on examination we detected right eye hypertropia (Figure 4 (Fig. 4)), inferior rectus resection was done and became orthophoria.
Final image after inferior rectus resection
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F5