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Updated: Jan 3, 2026

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Temporal transposition of the split medial rectus muscle when the medial rectus is the sole functioning rectus muscle
Chong-Bin Tsai1, Chien-Liang Fang2, Ming-Shan Chen3
1Department of Ophthalmology, Ditmanson Medical Foundation Chiayi Christian Hospital, Chiayi City, Taiwan; Department of Optometry, College of Medical and Health Science, Asia University, Taichung, Taiwan.
Abstract:
Multiple cranial nerve palsies often lead to complex clinical presentations. We report 2 cases in which a combination of multiple palsies resulted in paralytic esotropia with the medial rectus being the sole functioning rectus muscle. Both cases were treated with temporal transposition of split medial rectus.
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