Late correction for blow-out sequelae: transposition of a longitudinally transected inferior rectus muscle

A 45-year-old woman who had been operated for blow-out fracture, presented with a complaint of cosmetic concerns about her appearance. Orthoptic evaluation was notable for a left 35(∆) exotropia and 25(∆) hypertropia in primary position. Magnetic resonance imaging and the surgical exploration revealed a longitudinally transected left inferior rectus muscle. Transposition procedures which were carried out for left inferior and superior recti provided a good cosmetic result and satisfactory ocular alignment.