Abstract：
:The assessment of nature and the extent of extraocular muscle injuries during initial visit in ocular emergencies is of paramount importance to avoid/minimize the subsequent need for strabismus surgery. Based on our experience in managing acute globe and orbital injuries and cases of strabismus, we propose the probable mechanism involved in the occurrence of extraocular muscle flap tear and a complete rupture of the muscle. During high-velocity injuries when the forces are equally transmitted along the orbital bony framework and the globe, then due to differential shearing forces created between the global and the orbital fibres leads to a flap tear. In the second scenario, if the forces are only directed along the bony framework, then the globe continues to be in continuous motion leading to increased tension between the muscles and the globe. Thus the weaker portions between these two structures are at risk of complete separation, that is along the insertion of muscle onto the globe or the musculotendinous portion.
journal_name
Med Hypothesesjournal_title
Medical hypothesesauthors
Pujari A,Saxena R,Sharma P,Phuljhele Sdoi
10.1016/j.mehy.2019.01.011subject
Has Abstractpub_date
2019-02-01 00:00:00pages
115-117eissn
0306-9877issn
1532-2777pii
S0306-9877(18)30940-Xjournal_volume
123pub_type
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