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Case Reports
. 2024 Oct 25;54(5):301-303.
doi: 10.4274/tjo.galenos.2024.45752.

Partial Lateral Rectus Avulsion Due to Cat Scratch

Dudu Deniz Açar  1
Affiliations
Case Reports

Partial Lateral Rectus Avulsion Due to Cat Scratch

Dudu Deniz Açar. Turk J Ophthalmol. .

Abstract
in English, Turkish

Isolated rectus muscle rupture due to trauma without globe damage is extremely rare. The most commonly affected muscle is the medial rectus, while the least affected is the lateral rectus. The oblique muscles are much less affected by trauma because they are protected by the surrounding bone structures. Eye movements should be assessed after evaluating the integrity of the globe and performing a detailed eye examination. The most appropriate treatment should be provided as soon as possible after the degree of damage is determined. Especially in animal-related injuries, rabies prophylaxis should be overlooked in addition to tetanus. Here we present a 37-year-old male patient with partial lateral rectus avulsion due to cat scratch.

Glob hasarı olmaksızın travmaya bağlı izole rektus kası rüptürü son derece nadir görülen bir durumdur. En sık etkilenen kas medial rektus iken en az etkilenen kas ise lateral rektustur. Oblik kaslar çevredeki kemik yapılar tarafından korunduğu için travmadan çok daha az etkilenirler. Göz küresinin bütünlüğü değerlendirilip detaylı bir göz muayenesi yapıldıktan sonra göz hareketleri değerlendirilmelidir. Hasarın derecesi belirlendikten sonra en kısa sürede en uygun tedavi uygulanmalıdır. Özellikle hayvan kaynaklı yaralanmalarda tetanozun yanı sıra kuduz profilaksisi de unutulmamalıdır. Burada kedi tırmalaması nedeniyle kısmi lateral rektus kopması gelişen 37 yaşında erkek hastayı sunuyoruz.

Keywords: Lateral rectus avulsion; cat scratch; strabismus.

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Figures

Figure 1
Figure 1
A 2-mm laceration in the left lateral bulbar conjunctiva with a pinkwhite tissue protruding from the wound
Figure 2
Figure 2
A piece of lateral rectus muscle 22 mm long and 3 mm wide piece protruded from the conjunctival laceration and was tightly adhered at the insertion site. The remaining superior three-quarters of the lateral rectus muscle was intact
Figure 3
Figure 3
The severed muscle piece was excised
See this image and copyright information in PMC

References

    1. Minguini N, Ikeda KS, de Carvalho KM. Traumatic avulsion of extraocular muscles: case reports. Arq Bras Oftalmol. 2013;76(2):124–125. doi: 10.1590/s0004-27492013000200014. - DOI - PubMed
    1. Plagger DA, Parks MM. Recognition and repair of the “lost” rectus muscle. A report of 25 cases. Ophthalmology. 1990;97:136–137. - PubMed
    1. MacEwen CJ, Lee JP, Fells P. Aetiology and management of the ‘detached’ rectus muscle. Br J Ophthalmol. 1992;76(3):131–136. doi: 10.1136/bjo.76.3.131. - DOI - PMC - PubMed
    1. Reese PD, Judisch GF. Severed musculus rectus internus caused by a dog bite. Klin Monbl Augenheilkd. 1988;193(5):504–505. doi: 10.1055/s-2008-1050290. - DOI - PubMed
    1. Williams CP, Sleep TJ, Morris RJ. Lateral rectus muscle avulsion by a cat scratch. J AAPOS. 2002;6(6):397–399. doi: 10.1067/mpa.2002.129797. - DOI - PubMed

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