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Updated: Dec 13, 2025

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Published on: March 1, 2015
An Uncommon Case of Isolated Superior Rectus Palsy
Teena Mariet Mendonca1,2, Suprasanna K2,3, Gladys R Rodrigues1,2
1Department of Ophthalmology, Kasturba Medical College, Mangalore, India.
Abstract:
Head injury associated with orbital trauma is commonly encountered in day-to-day practice. We report a rare case of orbital trauma resulting in isolated orbital "roof blow" in fracture in a 14-year-old child. The patient presented to us with diplopia and limitation of elevation of right eye after orbital trauma. Computed tomography of the orbits (2 mm sections) did not reveal fracture of the orbital floor. However, there was orbital roof "blow in" fracture with fracture fragment impingement on the superior rectus muscle. Patient was treated conservatively and spontaneous recovery of ocular motility was noted after a month.
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