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Miscellaneous Strabismus Syndromes

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Abstract

The original term for this condition was double-elevator palsy , because it was felt to be due to a paralysis of both the ipsilateral superior rectus muscle (SR) and inferior oblique muscle (IO). We now recognize that it can be caused by inferior rectus muscle (IR) restriction in isolation [1, 2], supranuclear causes [3, 4], or paralysis of the SR without ipsilateral IO weakness [2,3,4]. There also can be IR restriction secondary to ipsilateral SR paresis. It is characterized by an inability to elevate above the midline in all horizontal gaze fields.

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References

  1. Scott WE, Jackson OB. Double elevator palsy: the significance of inferior rectus restriction. Am Orthopt J. 1977;27:5–10.

    Article  CAS  Google Scholar 

  2. Metz HS. Double elevator palsy. Arch Ophthalmol. 1979;97:901–3.

    Article  CAS  Google Scholar 

  3. Jampel RS, Fells P. Monocular elevation paresis caused by a central nervous system lesion. Arch Ophthalmol. 1968;80:45–57.

    Article  CAS  Google Scholar 

  4. Fells P, Jampel RS. Supranuclear factors in monocular elevation palsy. Trans Ophthalmol Soc UK. 1970;90:471–81.

    CAS  PubMed  Google Scholar 

  5. Kushner BJ. Case report. Ocular muscle fibrosis following cataract extraction. Arch Ophthalmol. 1988;106:18–9.

    Article  CAS  Google Scholar 

  6. Hunter DG, Lam GC, Guyton DL. Inferior oblique muscle injury from local anesthesia for cataract surgery. Ophthalmology. 1995;102:501–9.

    Article  CAS  Google Scholar 

  7. Kushner BJ. Superior oblique tendon incarceration syndrome. Arch Ophthalmol. 2007;125:1070–6.

    Article  Google Scholar 

  8. Kushner BJ. The inferior oblique muscle adherence syndrome. Arch Ophthalmol. 2007;125:1510–4.

    Article  Google Scholar 

  9. Metz HS. Double elevator palsy. J Pediatr Ophthalmol Strabismus. 1981;18:31–5.

    CAS  PubMed  Google Scholar 

  10. Knapp P. The surgical treatment of double-elevator palsy. Trans Am Ophthalmol Soc. 1969;67:304–23.

    CAS  PubMed  PubMed Central  Google Scholar 

  11. Struck MC, Larson JC. Surgery for supranuclear monocular elevation deficiency. Strabismus. 2015;23:176–81.

    Article  Google Scholar 

  12. Ludwig IH, Brown MS. Strabismus due to flap tear of a rectus muscle. Trans Am Ophthalmol Soc. 2001;99:53–62; discussion-3.

    Google Scholar 

  13. Ludwig IH, Brown MS. Flap tear of rectus muscles: an underlying cause of strabismus after orbital trauma. Ophthal Plast Reconstr Surg. 2002;18:443–9. discussion 50.

    Article  Google Scholar 

  14. Ludwig IH, Clark RA, Stager DR Sr. New strabismus surgical techniques. J AAPOS. 2013;17:79–88.

    Article  Google Scholar 

  15. Kushner BJ. Paresis and restriction of the inferior rectus muscle after orbital floor fracture. Am J Ophthalmol. 1982;94:81–6.

    Article  CAS  Google Scholar 

  16. Salama H, Farr AK, Guyton DL. Anesthetic myotoxicity as a cause of restrictive strabismus after scleral buckling surgery. Retina. 2000;20:478–82.

    Article  CAS  Google Scholar 

  17. Zhang C, Phamonvaechavan P, Rajan A, Poon DY, Topcu-Yilmaz P, Guyton DL. Concentration-dependent bupivacaine myotoxicity in rabbit extraocular muscle. J AAPOS. 2010;14:323–7.

    Article  Google Scholar 

  18. Capo H, Guyton DL. Ipsilateral hypertropia after cataract surgery. Ophthalmology. 1996;103:721–30.

    Article  CAS  Google Scholar 

  19. Kushner BJ. Extraocular muscle contracture and overaction syndrome occurring after periocular anesthesia. J AAPOS. 2004;8:182–3.

    Article  Google Scholar 

  20. Kushner BJ. Unexpected cyclotropia simulating disruption of fusion. Arch Ophthalmol. 1992;110:1415–8.

    Article  CAS  Google Scholar 

  21. Jampolsky A. Surgical leashes and reverse leashes in strabismus management. In: Transactions of the New Orleans Academy of Opththalmology. St. Louis: Mosby; 1978. p. 244–68.

    Google Scholar 

  22. Underdahl JP, Demer JL, Goldberg RL, Rosenbaum AL. Orbital wall approach with preoperative orbital imaging for identification and retrieval of lost or transected extraocular muscles. J AAPOS. 2001;5:230–7.

    Article  CAS  Google Scholar 

  23. Engle EC, Goumnerov BC, McKeown CA, Schatz M, Johns DR, Porter JD, Beggs AH. Oculomotor nerve and muscle abnormalities in congenital fibrosis of the extraocular muscles. Ann Neurol. 1997;41:314–25.

    Article  CAS  Google Scholar 

  24. Lim KH, Engle EC, Demer JL. Abnormalities of the oculomotor nerve in congenital fibrosis of the extraocular muscles and congenital oculomotor palsy. Invest Ophthalmol Vis Sci. 2007;48:1601–6.

    Article  Google Scholar 

  25. Weiss AH, Phillips JO. Hypertropia associated with superolateral translation of the superior rectus muscle pulley in unilateral coronal synostosis. Arch Ophthalmol. 2006;124:1128–34.

    Article  Google Scholar 

  26. Wright WW, Gotzler KC, Guyton DL. Esotropia associated with early presbyopia caused by inappropriate muscle length adaptation. J AAPOS. 2005;9:563–6.

    Article  Google Scholar 

  27. Ellis FD, Hoyt CS, Ellis FJ, Jeffery AR, Sondhi N. Extraocular muscle responses to orbital cooling (ice test) for ocular myasthenia gravis diagnosis. J AAPOS. 2000;4(5):271–81.

    Article  CAS  Google Scholar 

  28. Acheson JF, Elston JS, Lee JP, Fells P. Extraocular muscle surgery in myasthenia gravis. Br J Ophthalmol. 1991;75:232–5.

    Article  CAS  Google Scholar 

  29. Davidson JL, Rosenbaum AL, McCall LC. Strabismus surgery in patients with myasthenia. J Pediatr Ophthalmol Strabismus. 1993;30:292–5.

    CAS  PubMed  Google Scholar 

  30. Agarwal S, Kushner BJ. Results of extraocular muscle surgery for superior oblique myokymia. J AAPOS. 2009;13:472–6.

    Article  Google Scholar 

  31. Kushner BJ. Ocular torsion: rotations around the “WHY” axis. J AAPOS. 2004;8:1–12.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, Wisconsin, USA

    Burton J. Kushner

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  1. Burton J. Kushner
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Kushner, B.J. (2017). Miscellaneous Strabismus Syndromes. In: Strabismus. Springer, Cham. https://doi.org/10.1007/978-3-319-63019-9_17

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  • DOI: https://doi.org/10.1007/978-3-319-63019-9_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-63018-2

  • Online ISBN: 978-3-319-63019-9

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