Abstract
Equatorial Loop Myopexy in "Sagging Eye" Syndrome: A Case Report
Highlights
Divergence paralysis esotropia (DPE) is normally considered as a neurological entity [1]
In the absence of high myopia, divergence paralysis esotropia (DPE) in elderly patients has been classified as a variant of heavy eye syndrome, labeled as “sagging eye syndrome” (SES)
We identified a patient with DPE with inferior displacement of both lateral rectus muscles on imaging
Summary
Divergence paralysis esotropia (DPE) is normally considered as a neurological entity [1]. The degeneration of the lateral rectus (LR)-superior rectus (SR) band has been postulated to cause inferior sag of the LR pulley, resulting in esotropia or cyclovertical strabismus. High-resolution magnetic resonance imaging (MRI) has demonstrated inferior lateral rectus (LR) muscle displacement.
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