Work

Isolated Idiopathic Inferior Rectus Palsy: A Case Report and Literature Review

Year: 2025

Type: article

Abstract: Introduction: The aims of the study were to report a rare case of isolated idiopathic inferior rectus (IR) palsy in a young adult and discuss its clinical features, diagnostic workup, and surgical management. Case Presentation: A 31-year-old male presented with a 3-month history of vertical diplopia and right hypertropia. Comprehensive ophthalmic and systemic evaluations, including imaging and laboratory tests, were conducted. Examinations revealed right IR underaction with a 30 prism diopter hypertropia in primary gaze. Forced duction testing was negative. Imaging and laboratory investigations were unremarkable. The patient underwent an 8-mm ipsilateral superior rectus (SR) recession. Postoperatively, orthotropia was achieved with resolution of diplopia. Conclusions: Isolated idiopathic IR palsy is exceedingly rare. Thorough evaluation is essential to exclude secondary causes. Ipsilateral SR recession can provide excellent functional and cosmetic outcomes in patients with persistent hypertropia and diplopia.

Source: Case Reports in Ophthalmology

DOI: 10.1159/000549864

Authors: Manal Alwazae, Fawzia Alhaimi

Institution: King Khaled Eye Specialist Hospital

Language: English

Topic: Ophthalmology and Eye Disorders

Subfield: Pathology and Forensic Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,030