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CASE REPORTS
JOURNAL ARTICLE
Anterior nasal transposition of the inferior oblique muscle can cause antielevation syndrome.
Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus 2016 October
We present a case of acquired severe excyclotropia that occurred following multiple orbital wall fracture and traumatic superior oblique palsy in an 18-year-old man. The patient suffered from severe torsional diplopia in the right eye; double Maddox rod testing showed excylotorsion of 25°. After anterior nasal transposition of the right inferior oblique muscle, His subjective torsional diplopia improved; however, severe antielevation syndrome was noted after surgery.
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