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  • Title: A-pattern esotropia with bilateral inferior oblique muscle overaction.
    Author: Khawam E, Traboulsi EI.
    Journal: Ann Ophthalmol; 1988 Jan; 20(1):20-2. PubMed ID: 3345055.
    Abstract:
    An eight-year-old boy with residual congenital esotropia, with an A-pattern and overacting inferior obliques is described. Unilateral medial rectus maximal recession and insertion supraplacement, combined with bilateral inferior oblique myectomies resulted in disappearance of the A-pattern. This is the fourth reported case of A-pattern esotropia with overacting inferior obliques. Factors related to horizontal rectus muscle function in up- and down-gazes may explain the pattern seen in this, and similar cases.
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