case_images: PMC5848352_01
case_images: (a-e) Magnetic resonance imaging
case_images: OJO-11-58-g001.jpg
case_images: PMC5848352_01_OJO-11-58-g001.jpg
case_images: F1
case_images: A magnetic resonance imaging was advised which revealed vermian hypoplasia with ballooning of the 4th ventricle, hypoplastic cerebellar hemispheres, moderate dilatation of lateral ventricles, dilated cortical sulci, and shallow orbits [Figure 1a-d]. A gross lateral deviation of the eyeball was seen, with inability to visualize the medial recti on both sides [Figure 1e].
case_images: Abnormal head posture
case_images: OJO-11-58-g002.jpg
case_images: PMC5848352_01_OJO-11-58-g002.jpg
case_images: F2
case_images: On examination during this visit, he had a right face turn with a slight chin-up posture [Figure 2].
case_images: Preoperative 9 gaze photos
case_images: OJO-11-58-g003.jpg
case_images: PMC5848352_01_OJO-11-58-g003.jpg
case_images: F3
case_images: The ocular motility showed a limitation of adduction not even up to midline and an elevation limitation of - 3 in BE [Figure 3].
case_images: Postoperative photos
case_images: OJO-11-58-g004.jpg
case_images: PMC5848352_01_OJO-11-58-g004.jpg
case_images: F4
case_images: On PBCT, he had a 20 PD esotropia with 15 PD right hypertropia [Figure 4].