DR. RAHUL GOGINENI

DR. RAMAN YENUGANDULA

Abstract

Purpose: To report an infrequently seen case of adult onset large angle exotropia with paradoxical diplopia,surgically treated with muscle transplantation.

Method: A 31Y/M patient presented with outward deviation of either eye since 15 years managing with CHP.H/o troubling diplopia since 2 years,worsened since 7 months.He presented with Right face turn and facial symmetry maintaining.HCRT shows 40°Exo in RE and central in LE.PBCT confirms the 80PDBI for near and far.Diplopia chart shows paradoxically uncrossed diplopia.EOM are full.BE vision was 6/6.BE Anterior and Posterior segments normal.He was treated with Muscle Transplantation surgery for Right Eye.Post op shows near orthotropia and within a week diplopia resolved.Here we made an attempt to cure large comitant exodeviation(Basic) adult onset,with normal BSV,with a relatively novel surgery that resulted in relief to the patient.

Conclusion: Muscle Transplantation Surgery cured the large exotropia along with paradoxical diplopia.