DR. NAVYA POOJITHA DENDUKURI

DR. RAMAN YENUGANDULA

Abstract

A 2 year old female child brought to squint OPD with complaint of inward deviation of (LE) since birth.

Birth history is Uneventful. H/o delayed milestones present.

On examination,Left Face turn is present. Abduction limitation with narrowing of palpebral fissure height on adduction noted in (LE). (BE) Anterior segment normal.HCRT revealed 15° Eso in (LE). PBCT revealed 30 PD BO in primary position for distance and near. Cycloplegic refraction was done with 1% Atropine eye ointment. Patient was diagnosed with Type 1 DRS and (LE) Medial rectus recession done. HCRT is central in (LE) at post op Day1, at 1week and 1month follow up. At 1yr follow up, Consecutive Exotropia noted in (LE). Patient was evaluated and (LE) Lateral rectus recession was done. HCRT is central at post-op Day1 and at 1 week. Patient was yet to review for 1 month follow up.

With proper examination and management with best suited procedure, it is possible to successfully manage a case of DRS with a desirable outcome.