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Updated: May 18, 2026

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[Overcorrection secondary to augmented rectus muscle transposition].

V Rivero¹, P Merino, P Gómez de Liaño

¹Sección de Motilidad Ocular, Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, España.

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|September 27, 2012

Summary

This summary is machine-generated.

The Foster technique is effective for complete abducens palsy but carries risks of overcorrection. This case report details complications and reoperations following the procedure.

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Area of Science:

Ophthalmology
Strabismus Surgery

Background:

Complete abducens palsy presents significant challenges in ocular alignment and binocular vision.
The Foster technique, involving medial rectus recession and lateral rectus botulinum toxin injection, is a primary surgical approach.

Observation:

A patient undergoing the Foster technique for abducens palsy developed post-operative exotropia, limited adduction, face-turn inversion, and diplopia.
Initial surgical intervention involved medial rectus resection and lateral rectus botulinum toxin injection due to technical difficulties removing scleral fixation.

Findings:

Despite initial treatment, the patient experienced recurrence of diplopia and increased exotropia two years later, necessitating further surgical intervention (resection).
This case highlights potential complications associated with the Foster technique, including overcorrection and the need for subsequent procedures.

Implications:

The Foster technique remains a preferred method for complete abducens palsy, but careful patient selection and monitoring are crucial.
Managing complications like overcorrection may require additional surgical steps, emphasizing the complexity of treating severe abducens palsy.