Clinical case of the patient with an abnormality of the oculomotor muscles combined with perinatal central nervous system damage

We present a clinical case of the patient with a diagnosis «OU - atypical congenital strabismus. Abnormal development of the eye muscles. OD - moderate hyperopia with astigmatism, moderate amblyopia». The patient underwent two-step surgery with an interval of 4 years. During the first phase, it was discovered the absence of the lower and outer muscles on his right eye and was therefore carried out transposition of the internal rectus muscles to the projection of the bottom line. The second phase of the operation included: recession of the superior rectus muscle to 7.0 mm on the right eye; recession of the lateral rectus muscle of 10.0 mm on the left eye. During surgery it was discovered the following: in the right eye muscle fibers of the superior oblique muscle and the superior rectus muscle are in the same fascia and spliced. On the left eye outer rectus has an abnormal direction with respect to a limb: from the bottom up at an angle of 300. After surgery, the deviation amounted to (-)15 prism diopters, vertical component was removed.

the abnormality of the ocuklomotor muscles, strabismus, perinatal pathology