Double-bellied medial rectus muscle in a patient with Down syndrome and congenital esotropia

Surg Radiol Anat. 2020 Jul;42(7):859-861. doi: 10.1007/s00276-020-02464-0. Epub 2020 Apr 11.

Abstract

A 13-year-old male with Down syndrome, pseudophakic secondary to congenital cataract presented with esotropia. During bilateral medial rectus recession, a unilateral two-bellied right medial rectus was identified and recessed successfully with complete resolution of the deviation. Clinicians facing a two-bellied medial rectus can consider continuing with their surgical plan.

Keywords: Double-bellied rectus muscle; Down syndrome; Esotropia; Extra-ocular muscles (EOM); Strabismus.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anatomic Variation*
  • Down Syndrome / complications*
  • Down Syndrome / genetics
  • Esotropia / genetics
  • Esotropia / surgery*
  • Humans
  • Incidental Findings
  • Male
  • Oculomotor Muscles / abnormalities*
  • Oculomotor Muscles / surgery
  • Ophthalmologic Surgical Procedures*
  • Treatment Outcome