Orbital Fibrotic Band as Cause of Monocular Elevation Deficiency

Monocular elevation deficiency is a congenital, unilateral inability of elevation. It is classified as innervational, restrictive, or combine types. Here, we report a rare case of monocular elevation deficiency who had 60 PD left hypotropia and left ptosis with limited elevation (-5) both on abducti...

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Bibliographic Details
Published in:	Ophthalmic plastic and reconstructive surgery Vol. 40; no. 2; pp. e48 - e51
Main Authors:	Atilla, Huban, Çaliş Karanfil, Feyza, Bingöl Kiziltunç, Pinar
Format:	Journal Article
Language:	English
Published:	United States 01-03-2024
Subjects:	Blepharoptosis - diagnosis Blepharoptosis - etiology Congenital Cranial Dysinnervation Disorders Female Humans Oculomotor Muscles Orbit - diagnostic imaging Strabismus
Online Access:	Get full text
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Summary:	Monocular elevation deficiency is a congenital, unilateral inability of elevation. It is classified as innervational, restrictive, or combine types. Here, we report a rare case of monocular elevation deficiency who had 60 PD left hypotropia and left ptosis with limited elevation (-5) both on abduction and adduction. Orbital MRI revealed a hypointense fibrotic band between the superior oblique and superior rectus muscles extending obliquely in the superonasal direction between the sclera and orbital roof. She was successfully treated after severing the fibrotic band between the sclera and bony orbit.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0740-9303 1537-2677 1537-2677
DOI:	10.1097/IOP.0000000000002551