Successful repair of severed medial rectus following trauma

Abstract

Direct injury to the extraocular muscles following penetrating orbital trauma is often challenging for the clinicians. The decision whether to attempt primary repair or to have a staged approach is difficult to make, with each having its merits and demerits. We report here a case of direct injury to the medial rectus resulting in its complete transection. The patient was successfully managed by imaging followed by exploration and reattachment of the transected muscle in a single surgery.

Keywords

• exotropia
• ptosis
• severed medial rectus
• trauma