Abstract
A 6-year-old boy who had sustained an injury with iron rod to the right eye (RE) presented to our emergency department with complaints of periorbital swelling, lid hematoma, and diplopia. Ocular motility in RE revealed complete restriction of infraduction. The alternate prism cover test showed large hypertropia of more than 40 prism diopters. The RE had a large conjunctival laceration of 180° and an upper lid laceration involving the canaliculus. The child was taken for immediate wound exploration and surgical repair under general anesthesia suspecting an inferior rectus (IR) injury. The proximal end of IR could not be traced, so anterior transposition of intact inferior oblique was done and lid tear repair with Mini-Monoka stent was performed. Postoperatively, the patient was orthophoric in primary position and with diplopia only in extreme downgaze.
Published Version
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