Surgery for Complete Vertical Rectus Paralysis Combined with Horizontal Strabismus
Figure 5
(a) Preoperative images for patient 10. Before surgery insufficient supraduction of the left eye complicated by exotropia was noted. The supraduction of the left eye could not pass the midline. (b) After APRMT combined with partial horizontal rectus recession-resection on the paralytic eye (left eye), insufficient supraduction of the left eye was still present, but the vertical strabismus was corrected at the primary position. The movement of the paralytic eye was improved and exotropia was still present. (c) After horizontal rectus recession-resection on the contralateral (right) eye 2 months later, both horizontal and vertical strabismuses were corrected at the primary position. The movement of the paralytic eye was improved, although the supraduction was still insufficient.
