Asymmetric Lateral Rectus Muscle Insertion Presenting as Esotropia in a Child With Alagille Syndrome

J Pediatr Ophthalmol Strabismus. 2018 Nov 2:55:e36-e38. doi: 10.3928/01913913-20181012-01.

Abstract

A 2-year-old boy with Alagille syndrome who had esotropia underwent bilateral medial rectus recession. One month postoperatively, esotropia reoccurred and was aggravated thereafter. Right lateral rectus resection was unsuccessful because the insertion site could not be identified. Careful preoperative imaging may be necessary in patients with Alagille syndrome to detect any abnormal extraocular muscle insertion. [J Pediatr Ophthalmol. 2018;55:e36-e38.].

Publication types

  • Case Reports

MeSH terms

  • Alagille Syndrome / complications*
  • Child, Preschool
  • Esotropia / diagnosis
  • Esotropia / etiology*
  • Esotropia / surgery
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Oculomotor Muscles / diagnostic imaging*
  • Oculomotor Muscles / physiopathology
  • Oculomotor Muscles / surgery
  • Ophthalmologic Surgical Procedures / methods*
  • Postoperative Period
  • Vision, Binocular / physiology*