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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2012  |  Volume : 19  |  Issue : 4  |  Page : 416-418

Surgically mismanaged ptosis in a patient with congenital fibrosis of the extraocular muscles type I

Department of Ophthalmology, Ain-Shams University, Cairo, Egypt

Correspondence Address:
Hatem A Tawfik
MD, 5 Ibn Elnafis St., Off Makram Ebeid St. Nasr City, Cairo
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-9233.102764

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Fibrosis syndromes comprise a rare form of severe limitation of ocular motility. An 11-year-old girl was referred for the correction of eyelid retraction. The eyelid retraction occurred immediately following levator resection surgery performed by a plastic surgeon who missed the restrictive extraocular muscle abnormalities. On examination, both eyes were fixed in an infraducted position (20 prism diopters (Δ)), with a chin-up position and significant lagophthalmos. Bilateral 12-mm inferior rectus recession with adjustable sutures was performed, which resulted in significant reduction of lagophthalmos and elimination of the head tilt.

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