Isolated medial rectus muscle laceration after bird strike

Abstract

Introduction: A 66 year-old male suffered globe trauma due to A bird, a German Desert Hawk, strike. At the first examination in the emergency ünit a few hours after the injury, the patient reported persistent horizontal diplopia. Case report: He had right conjunctival laceration, mild proptosis, subconjunctival hematoma, exotropia with no adduction. Magnetic Resonance Imaging (MRI) revealed that it was suggestive of laceration of the right medial rectus muscle, at about the junction of it’s anterior and middle thirds. During surgery; initially, the lacerated proximal end of the distal segment was isolated. The proximal segment of the medial rectus muscle was then carefully dissected. The two lacerated ends were then joined with 6-0 polyglactin sutures. Conclusion: The day after surgery, there was no deviation and diplopia in all diagnostic gaze positions.