History

This 70 year old woman underwent functional endoscopic sinus surgery (L) side which was complicated by an orbital homorrhage. Postoperatively she had horizontal double vision and she was unable to move her (L) eye to the right.

Surgery

OR #1
Transnasal endoscopic exploration of injured LMR

Post 1/3 of muscle deficient and reanaestomosis impossible

OR #2

(L) vertical rectus transposition nasally and LLR Botox