Abstract
<br>Inferior rectus aplasia is a rare cause of apparent inferior rectus palsy presenting as upward deviation of eye since birth. An ideal procedure to manage these cases should correct the deviation in primary gaze and improve motility of the eye. It has been managed in the past by full or partial tendon transplantation of horizontal recti muscles which poses a risk of anterior segment ischemia and is usually done in a staged manner. We report a case of inferior rectus aplasia confirmed preoperatively by imaging and successfully managed by a no split, no tenotomy method done in a single stage.<br>
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