Surgical Treatment of a Large-Angle Post Traumatic Hypertropia by The Inverse Knapp Procedure: A Case Report
Journal Title: Journal of Ophthalmology and Advance Research - Year 2024, Vol 5, Issue 2
Abstract
Purpose: To report the case of a patient treated successfully by the inverse Knapp procedure for persistent vertical diplopia, despite 2 orbital reconstruction surgeries following orbital trauma. Report: A 40-year-old patient was referred to us for a 10-months history of vertical diplopia which started after a road traffic accident. The initial CT scan had revealed right maxillary hemosinus, fracture of the orbital floor and muscle incarceration; for which he had undergone 2 orbital surgeries before referral. Ocular motility revealed a 30 Prism Diopters (PD) hypertropia and limited depression of the right eye. Lancaster test showed inferior rectus palsy of the right eye. Persistent diplopia despite 4 months of continuous patching of the left eye was the indication for surgery. The inverse Knapp procedure was done under general anaesthesia. Post operatively, the patient was free of diplopia without the use of prisms in primary gaze and in near vision. Conclusion: The inverse Knapp procedure is an uncommon operation in strabismus surgery which gives good results in inferior rectus palsy from orbital trauma.
Authors and Affiliations
Viola Andin Dohvoma1,2*, Steve Robert Ebana Mvogo1, Jacques Gérard Edouma Bohimbo1,2, Côme Ebana Mvogo1,2
Keywords
Related Articles
- EP ID EP737284
- DOI https://doi.org/10.46889/JOAR.2024.5204
- Views 30
- Downloads 1
Diabetic Mononeuritis: Isolated Extrinsic Paralysis of the III
Oculomotor paralysis is a rare complication of diabetes. It is a rare form of diabetic neuropathy, with a prevalence of 1 to 14% in diabetics. This is a 52-year-old patient with no known personal history, who presented h...
Diagnosis and Management of Orbital Cellulitis in a Reference Center in Senegal
The severity of orbital cellulitis is the risk of blindness and cerebro-meningeal complications that can be life-threatening. The objective of our study was to report the clinical, paraclinical, therapeutic and progressi...
Outcome of Immediate Management in Chemical Ocular Burns
Purpose: To evaluate the outcome of immediate management in acute ocular chemical burns. Methods: 29 eyes of 19 patients with acute chemical burns were studied. All patients received immediate first aid. Limbal and con...
A Case Report of Intraocular Radiotherapy with Strontium-90 for Juxtapapillary Retinal Capillary Haemangioma
Juxtapapillary retinal capillary haemangiomas are rare benign vascular tumors located adjacent to the optic disc. They may occur sporadically or in association with von Hippel-Lindau disease. Treatment modalities for jux...
Spontaneous Giant Retinal Pigment Epithelium Rip with Exudative Retinal Detachment-An Unusual Presentation
Retinal Pigment Epithelial (RPE) rip or tears are known to occur as a natural result in the course of a retinal Pigment Epithelial Detachment (PED) in patients with neovascular Age-Related Macular Degeneration (AMD) or...