• Users Online: 2211
  • Print this page
  • Email this page
Year : 2022  |  Volume : 34  |  Issue : 4  |  Page : 483-485

Medial rectus plication in the management of dissociated horizontal deviation: Case report and literature review

1 Eye Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
2 Eye Research Center, The Five Senses Health Institute, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

Correspondence Address:
Seyed Hosein Ghavami Shahri
Eye Research Center, Mashhad University of Medical Sciences, Khatam-Al-Anbia Eye Hospital, Qarani Blvd., Mashhad
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joco.joco_6_22

Rights and Permissions

Purpose: To report a case of medial rectus plication for the management of dissociated horizontal deviation (DHD). Methods: We introduce medial rectus plication for improving the control of exoshift of DHD. Results: A 20-year-old woman with a chief complaint of left eye outward deviation since childhood was referred to the strabismus clinic. The diagnosis of DHD was made according to the detection of asymmetric slow abduction of the left eye (50 prism diopter) during visual inattention or cover testing. The left lateral rectus (LR) was recessed 8 mm with a posterior fixation suture (PFS). In the early postoperative period, the control of DHD improved; however, after 6 months, the patient and her parents complained of frequent observation of the exoshift of the left eye (30 prism diopter). For better control of DHD, medial rectus plication (5 mm) of the left eye was considered the second operation. After 12 months of follow-up, the control of deviation improved, and there was no manifest deviation. Conclusions: The literature's recommended procedure for unilateral DHD without a duction deficit is to perform a unilateral LR muscle recession. Some authors have proposed adding PFS to augment the effect of LR recessions. Although recurrence may occur, medial rectus plication can be considered one of the reversible options and can be used in recurrences of DHD after the first surgical procedure.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded9    
    Comments [Add]    

Recommend this journal