Function of transected or avulsed rectus muscles following recovery using an anterior orbitotomy approach.

Purpose: To assess the function of muscles retrieved from a retrobulbar location using an anterior orbitotomy approach and to identify the prognostic factors favoring a good outcome.

Methods: The records of all patients undergoing anterior orbitotomy for the retrieval of a transected or avulsed muscle in a retrobulbar location were reviewed. Ocular motility, before and after retrieval (with ductions scaled from -4 to +4), was evaluated.

Risk factors for consecutive exotropia after vertical rectus transposition for esotropic Duane retraction syndrome.

Purpose: To define risk factors for postoperative exotropia after vertical rectus transposition (VRT) for Duane syndrome.

Methods: The records of patients with Duane syndrome who underwent augmented VRT were retrospectively reviewed; those with postoperative exotropia (study group) were compared with those with postoperative esotropia/orthotropia (controls).

Results: A total of 51 patients were included, of whom 14 were exotropic postoperatively.

Traumatic longitudinal splitting of the inferior rectus muscle.

Orbital floor fractures and associated injuries can cause strabismus. We present the case of a 34-year-old man with incomitant strabismus after orbital reconstruction following a high-impact baseball injury. Multipositional, high-resolution magnetic resonance imaging revealed extensive longitudinal splitting of the inferior rectus muscle by an orbital floor implant that separated its orbital and global layers.

Serous retinal detachment following glaucoma surgery.

The authors report the occurrence and clinical course of serous retinal detachment following glaucoma surgery in three patients. Serous detachment resolved in all patients spontaneously following treatment with oral and topical steroids.