Auctores Publishing – Volume 2(1)-011 www.auctoresonline.org Page - 1 J Surgical Case Reports and Images Instantaneous Reconstruction of Inferior Rectus: Asset for Vision Sanjoy Chowdhury 1* , Madhumita Srivastava 2 , Nilanjan Chowdhury 3 1 Chief Ophthalmologist, 4C/3020, Bokaro steel city, Jharkhand, India. 2 Specialist, Jharkhand, India. 3 Resident Bokaro General Hospital, Bokaro steel city, Jharkhand, India *Corresponding author: Sanjoy Chowdhury, Chief Ophthalmologist, 4C/3020, Bokaro steel city, Jharkhand, India, Email: drsanjoy@hotmail.com Received Date: November 10, 2019; Accepted Date: December 09, 2019; Published Date: January 4, 2020. Citation: Chowdhury S, Srivastava M, And Chowdhury N. (2020) Instantaneous Reconstruction of Inferior Rectus: Asset for Vision. Surgical Case Reports and Images, 3(1): Doi: 10.31579/jsci/2019/011 Copyright: © 2020. Sanjoy Chowdhury. This is an open-access article distributed under the termsof the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Introduction Orbital trauma is associated with various periorbital and ocular injuries, causing diplopia, muscle avulsion and/or incarceration, paralysis and scar adhesions. In cases of vertical diplopia, rupture of the inferior rectus muscle (IR) secondary of trauma is an infrequent finding, yet possible cause of persistent infraduction deficit. Also it has been seen that traumatic muscle laceration involves the inferior or medial rectus muscles more often. Hypertropia with lack of infraduction following trauma is a diagnostic feature. Persistent Defect leads compensatory changes, posing a surgical challenge later on, so standard procedure includes repair of flap tear, transposition of horizontal recti, and reattachment of distal end to proximal connective tissues. Inferior oblique transposition is not much reported in literatures. Here we present four cases of traumatic inferior rectus muscle laceration which was corrected with anterior transposition of inferior oblique to the snapped inferior rectus muscle stump. [1, 2] Case Reports Four cases of traumatic inferior rectus laceration were isolated among orbital trauma patients. All patients had hypertropia with lack of infraduction which was diagnostic of trauma to inferior rectus. Infraduction of the affected eye was markedly reduced. Forced-duction testing showed no limitation to elevation and infraduction in the affected eye, suggesting an isolated lesion of IR with no entrapping of orbital tissue and associated muscle. To restore the function anterior transposition of inferior oblique muscle to IR was planned. Under local anaesthesia IR muscle was explored and in all three cases and only the proximal stump of snapped IR could be found. Inferior oblique muscle was anteriorly transposed at the distal stump of inferior rectus. Traction suture was given which was removed after 10 days. Figure: [1, 2, 3, 4, 5, 6, 7&8] Illustration 1 Illustration 2 Abstract Orbital lesions are frequent findings after blunt periocular trauma causing diplopia, muscle avulsion etc. Four patients presented with diplopia after a penetrating injury to the right eye. Examination revealed right hypertopia and limitation of infraduction of right eye with rupture of Inferior Rectus. Immediate repair of inferior rectus muscle with anterior transposition of inferior oblique is a safe and effective procedure to restore motility Key Words: Ocular motility disorders, Eye injuries, Inferior rectus & anterior transposition of inferior oblique Open Access Case Reports Journal of Surgical Case Reports and Images Sanjoy Chowdhury AUCTORES Globalize your Research