Isolated medial rectus muscle laceration after bird strike
Yaşar Duranoğlu1, Diğdem Beğendi2
1Department of Ophthalmology, Akdeniz University, School of Medicine, Antalya, Turkey.
European Journal of Ophthalmology
|July 27, 2021
Summary
A German Desert Hawk strike caused severe eye trauma and double vision in a 66-year-old male. Surgical repair of the medial rectus muscle successfully restored normal vision.
Area of Science:
- Ophthalmology
- Trauma Surgery
Background:
- Orbital trauma can lead to significant ocular motility disturbances.
- Bird strikes are a rare but severe cause of ocular injury.
Observation:
- A 66-year-old male presented with horizontal diplopia after a bird strike.
- Examination revealed right conjunctival laceration, proptosis, hematoma, and exotropia with impaired adduction.
- MRI indicated a laceration of the right medial rectus muscle.
Findings:
- Surgical repair involved isolating and rejoining the lacerated medial rectus muscle ends using polyglactin sutures.
- Post-operative assessment showed complete resolution of ocular deviation and diplopia.
Implications:
- Prompt surgical intervention for traumatic medial rectus muscle lacerations can achieve excellent functional recovery.
- This case highlights the importance of considering severe ocular trauma in cases of high-velocity impact injuries.
- Successful management of such injuries can prevent long-term visual impairment and double vision.


