Pre-Op Exam




marked chin-up head position; marked ptosis and brow elevation; variable ET; marked bilateral hypotropia.

Diagnosis

Congenital fibrosis syndrome with tight inferior rectus OU

Bilateral inferior rectus recession 8 mm; Bilateral facia lata sling




poor elevation OU poor (R) gaze mild bilateral hypotropia; improved ptosis OU poor (L) gaze poor depression OU

improved head position, ptosis and hypotropia