Isolated Rupture of Extraocular Muscles in A Severe Penetrating Trauma– “A Globe Shielded by Muscles”

Shashikant  Shetty; Janani  Sankar; Rutvi  Parekh; Anupama Janardhanan

doi:10.22541/au.167724007.72316772/v1

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Isolated Rupture of Extraocular Muscles in A Severe Penetrating Trauma– “A Globe Shielded by Muscles”

Shashikant Shetty,
Janani Sankar,
Rutvi Parekh,
Anupama Janardhanan

Abstract

Traumatic rupture of an extraocular muscle is rare. We report an unusual case of Superior oblique and medial rectus rupture after a penetrating trauma by metallic hook. Surgical repair was combined with botulinum toxin injection into the ipsilateral antagonist to prevent consequent contracture thus also augmenting the orthoptic outcome.