Wednesday, June 18, 2014

#GENERALQUESTION. CAN YOU ANSWER IT?

A 3-YEAR-OLD IS REFERRED FOR EVALUATION OF CONSECUTIVE EXTROPIA AFTER INITIAL BIMEDIAL RECTUS RECESSIONS FOR ESOTROPIA PERFORMED ELSEWHERE. REVIEW OF THE OPERATIVE NOTES DISCLOSES THAT EACH MUSCLE WAS RECESSED 4.5MM FOR 30-PRISM DIOPTER DEVIATION. UNFORTUNATELY, THE CHILD HAD MILD DEVELOPMENTAL DELAY AND PRESENTS WITH A 25-PRISM DIOPTER EXOTROPIA. YOU DECIDE TO ADVANCE THE RECESSED MEDIAL RECTUS OF EACH EYE BACK TO ITS ORIGINAL INSERTION. SITE. WHERE IS THIS SITE IN RELATION TO THE LIMBUS? IDENTIFY THE LOCATION OF EACH OF TE RECTUS MUSCLE INSERTION SITES RELATIVES TO THE LIMBUS.

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