A 48-year-old patient with blunt periorbital trauma presented with vertical strabismus and diplopia secondary to inferior rectus muscle avulsion. After ophthalmologic and CT scan evaluation, early surgical treatment with anatomical restoration led to improvement in motility deficits with resolution of diplopia.
Inferior rectus muscle rupture due to orbital trauma
(A) Fundus photography of the right eye showing a circumscribed yellow-orange choroidal mass located along the inferotemporal vascular arcade. (B) Optical coherence tomography (OCT) demonstrating a dome-shaped choroidal mass with subretinal fluid, retinal pigment epithelium alterations, cystoid macular edema, and outer retinal damage.
LandóL, OliveiraT, RezendeJC. Inferior rectus muscle rupture due to orbital trauma. Rev Bras Oftalmol. 2017;76(1):40-2.
Landó,Leonardo; Oliveira,Tauan de; Rezende,Jomar Cleison de. Inferior rectus muscle rupture due to orbital trauma. Rev Bras Oftalmol., v. 76, n. 1, p. 40-42, Feb. 2017.
Landó,L., Oliveira,T. , & Rezende,J.C. (2017). Inferior rectus muscle rupture due to orbital trauma. Rev Bras Oftalmol.,76(1), 40-42.
Landó,Leonardo and Oliveira,Tauan de and Rezende,Jomar Cleison de. Inferior rectus muscle rupture due to orbital trauma. Rev Bras Oftalmol. [online]. 2017, vol. 76, n. 1, [cited 2026-10-22], pp.40-42. Available from: <https://www.rbojournal.org/en/article/inferior-rectus-muscle-rupture-due-to-orbital-trauma/>. ISSN 0034-7280.