Anterior segment ischemia following Hummelsheim procedure in a case of sixth nerve palsy.

Abstract:

:A, 46-year-old Indian male, known hypertensive presented with left esotropia of 25  prism diopters (PD) after head injury in a roadside accident 9 months back. The deviation was constant in nature and was associated with complaints of diplopia in left lateral gaze. Traumatic sixth nerve palsy was diagnosed. The patient underwent left medial rectus recession of 5 mm and a split-tendon transposition of the left superior and inferior recti to the lateral rectus insertion (Hummelsheim procedure). On the first postoperative day, the patient developed corneal edema and anterior chamber reaction of flare 2+ and cells 2+. The pupil was semi-dilated and was sluggishly reacting to light. Anterior segment ischemia was diagnosed, which was managed with topical and systemic steroids.

journal_name

Indian J Ophthalmol

authors

Bansal RK,Bamotra RK

doi

10.4103/0301-4738.162619

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

543-4

issue

6

eissn

0301-4738

issn

1998-3689

pii

IndianJOphthalmol_2015_63_6_543_162619

journal_volume

63

pub_type

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