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Intraorbital Granular Cell Tumor Involving in medial rectus and Optic Nerve

Chinese Medical Journal 2017年第13期130卷 1627-1628页

作者： Guo-Yuan Yang Wei-Min He Department of Ophthalmology West China Hospital Sichuan University Chengdu Sichuan 610041 China

To the Editor： Here, we present a rare case whose medial rectus and optic nerve in the left eye are both affected by intraorbital granular cell tumor （GCT）. Macroscopic size of the mass was around 4.3 cm×2.2 cm ×... 详细信息

关键词： Granular Cell Tumor Involving medial rectus Optic Nerve

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Congenital dysplasia involving both medial and inferior recti: clinical features and surgical outcomes

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International Journal of Ophthalmology(English edition) 2021年第10期14卷 1628-1632页

作者： Li-Cheng Fu Bin-Bin Zhu Jian-Hua Yan State Key Laboratory of Ophthalmology Zhongshan Ophthalmic CenterSun Yat-sen UniversityGuangzhou 510060Guangdong ProvinceChina

AIM: To investigate the clinical features and surgical outcomes of congenital dysplasia involving both inferior recti(IR) and medial recti(MR) ***: A retrospective review was conducted including cases of simultaneous congenital dysplasia of IR and MR that were diagnosed and surgically treated at the Zhongshan Ophthalmic Center, Sun Yat-sen University, China, from July 2009 to November 2019. Ocular motility, ocular alignment at distance(6 m) and near(33 cm) by prism alternating cover test and stereoacuity were assessed in all patients before and after surgery. RESULTS: A total of five patients(four males and one female;three with right eye and two with left eye congenital dysplasia) were included in this review. The patients ranged in age from 10 to 42 y(21±13.4 y). The main clinical findings were hypertropia and exotropia of the affected eye, along with motility limitations in adduction and depression. Lateral rectus(LR) recession/transposition combined with IR resection was performed in one case. Two scheduled surgeries were performed in four cases, with one involving superior rectus recession and IR resection and the others LR recession and MR resection. Mean±SD pre-surgical exotropia of 51.0±31.11 prism diopter(PD) and hypertropia of 29.20±7.12 PD in the primary position were decreased to 3.6±12.90 and 3.2±10.09 PD, respectively, at two years after surgery, with a success rate of 60% and an undercorrection rate of 40%. CONCLUSION: The main clinical features associated with simultaneous MR/IR congenital dysplasia are hypertropia and exotropia of the affected eye along with motility limitations in adduction and depression. Scheduled two-stage surgeries achieved a success rate of 60%.

关键词： medial rectus inferior rectus paralytic strabismus strabismus surgery dysplasia of extraocular muscle

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