We present a case of severe esotropia and hypertropia in a monocular high myope with an inferolateral staphyloma. Surgery was undertaken to secure the inferior rectus to the lateral rectus via a modified partial Jensen technique, along with medial rectus recession successfully improving head and eye positions and ductions.
YamaguchiMYokoyamaTShirakiK. Surgical procedure for correcting globe dislocation in highly myopic strabismus. Am J Ophthalmol2010; 149: 341–346.e2. DOI: 10.1016/j.ajo.2009.08.035
3.
AokiYNishidaYHayashiO, et al.Magnetic resonance imaging measurements of extraocular muscle path shift and posterior eyeball prolapse from the muscle cone in acquired esotropia with high myopia. Am J Ophthalmol2003; 136: 482–489. DOI: 10.1016/s0002-9394(03)00276-9
4.
FrisinaRBaldiACesanaBM, et al.Morphological and clinical characteristics of myopic posterior staphyloma in Caucasians. Graefes Arch Clin Exp Ophthalmol2016; 254: 2119–2129. DOI: 10.1007/s00417-016-3359-1
5.
RutarTDemerJL. Heavy eye” syndrome in the absence of high myopia: a connective tissue degeneration in elderly strabismic patients. J AAPOS2009; 13: 36–44. DOI: 10.1016/j.jaapos.2008.07.008
6.
KrzizokTHKaufmannHTraupeH. New approach in strabismus surgery in high myopia. Br J Ophthalmol1997; 81: 625–630. DOI: 10.1136/bjo.81.8.625
7.
KinoriMPansaraMMaiDD, et al.Inferior rectus displacement in heavy eye syndrome and sagging eye syndrome. Graefes Arch Clin Exp Ophthalmol2020; 258: 1109–1113. DOI: 10.1007/s00417-020-04629-4
8.
LiYWeiQLeA, et al.Rectus extraocular muscle paths and staphylomata in high myopia. Am J Ophthalmol2019; 201: 37–45. DOI: 10.1016/j.ajo.2019.01.029
9.
DemerJLNoordenVKG. High myopia as an unusual cause of restrictive motility disturbance. Surv Ophthalmol1989; 33: 281–284. DOI: 10.1016/0039-6257(82)90154-0
10.
LiQZhouFLuY. Bilateral congenital hypertropic strabismus fixus: a case report. Eur J Ophthalmol2022; 32: NP10–NP13. DOI: 10.1177/1120672120986367
