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KMID : 0213520140280030265
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Korean Journal of Ophthalmology
2014 Volume.28 No. 3 p.265 ~ p.267
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Traumatic Rupture of the Superior Oblique Muscle Tendon
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Chung Hye-Jin
Baek Ji-Won
Lee Young-Chun
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Abstract
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Traumatic rupture of the superior oblique muscle is rare. We report a case of a 54-year-old man injured by the metal hook of a hanger, resulting in a rupture of the superior oblique muscle tendon. He complained of torsional diplopia when in the primary position. The distal margin of the superior oblique muscle was reattached to sclera 5 and 9 mm apart from the medial insertion of the superior rectus muscle. One week after the operation, torsional diplopia disappeared. However, a 4-prism diopter ipsilateral hypertropia was observed. Three months later, hypertropia gradually increased to 20 prism dioptors and the second operation was done to correct vertical diplopia.
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KEYWORD
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Diplopia, Reattachment, Strabismus, Superior oblique rupture, Wounds and injuries
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