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Case Report

Ocular-muscle surgery for filamentary keratitis that developed in double elevator palsy

, &
Pages 385-388 | Published online: 04 Dec 2017

Figures & data

Figure 1 Preoperative findings.

Notes: (A) Preoperative images of the nine diagnostic gaze positions in a female patient with filamentary keratitis. Prior to surgery, hypertropia was detected in the primary gaze position of her left eye. The patient’s right eye was found to have upper rotation imperfection at the inside and outside transposition. (B) Preoperative slit-lamp examination image of the patient’s left eye. The upper-third or more area of the cornea was covered to the upper eyelid due to an upper squint. (C) A thread-like inflammation of the cornea in the upper-third area of the patient’s left eye. (D) Fluorescein staining of the left eye cornea. (E) Hess chart shows an upward restriction on the right eye.
Figure 1 Preoperative findings.

Figure 2 Postoperative findings.

Notes: (A) Images of the patient’s nine diagnostic gaze positions at 3 weeks post operation. Her ocular muscles became orthophoria in the primary gaze position, and strabismus significantly decreased in all gaze directions. Her right eye performed upper rotation improved at the inside transposition. (B) Anterior ocular segment findings in the patient’s left eye at 3 weeks post operation revealed no filamentary keratitis. (C) Fluorescein staining of the left eye cornea. (D) Hess chart shows improvement of uplift limit of right eye.
Figure 2 Postoperative findings.