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Related Experiment Video

Updated: Mar 18, 2026

In situ Transverse Rectus Abdominis Myocutaneous Flap: A Rat Model of Myocutaneous Ischemia Reperfusion Injury
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Isolated rectus muscle rupture following trauma.

Halil Hüseyin Çağatay, Metin Ekinci, Şendoğan Ulusal

    Nepalese Journal of Ophthalmology : a Biannual Peer-Reviewed Academic Journal of the Nepal Ophthalmic Society : NEPJOPH
    |July 2, 2016
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    Summary

    Isolated inferior rectus ruptures are rare but can cause persistent double vision. Surgical repair, sometimes requiring a second procedure like inferior rectus resection, can restore normal eye alignment and vision.

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    Area of Science:

    • Ophthalmology
    • Ophthalmic Surgery

    Background:

    • Isolated inferior rectus muscle ruptures are uncommon ophthalmic emergencies.
    • These injuries can lead to permanent diplopia (double vision).

    Purpose of the Study:

    • To review clinical findings, surgical treatments, and complications of isolated inferior rectus ruptures.
    • To present a case study of successful surgical management.

    Main Methods:

    • A case of a 39-year-old male with diplopia and right eye hypertropia after an animal injury is described.
    • Initial repair of the inferior rectus rupture was performed under local anesthesia.
    • A second surgery involving inferior rectus resection was performed due to persistent hypertropia.

    Main Results:

    • The patient presented with a 40 prism diopter (PD) hypertropia of the right eye.
    • Post-initial surgery, a 20 PD hypertropia persisted, causing diplopia.
    • A 6 mm inferior rectus resection successfully achieved orthophoria in the primary position.

    Conclusions:

    • Prompt diagnosis and surgical intervention are crucial for managing isolated inferior rectus ruptures.
    • Recurrence or persistent misalignment may necessitate secondary surgical procedures, such as muscle resection.
    • Surgical correction can effectively resolve diplopia and restore binocular function.