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Lateral rectus muscle overaction

MedGen UID:
1647963
•Concept ID:
C4703521
•
Finding
HPO: HP:0031752

Definition

Excessive action of the lateral rectus muscle caused by increased innervation typically as a consequence of palsy or limitation to the ipsilateral antagonist or contralateral synergist. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVLateral rectus muscle overaction

Professional guidelines

PubMed

Treatment for A and V strabismus by slanting muscle insertions.
Ohba M, Ohtsuka K, Osanai H
Binocul Vis Strabismus Q 2004;19(1):13-20. PMID: 14998364
Treatment for "A" and "V" exotropia by slanting muscle insertions.
Ohba M, Nakagawa T
Jpn J Ophthalmol 2000 Jul-Aug;44(4):433-8. doi: 10.1016/s0021-5155(00)00182-9. PMID: 10974302

Recent clinical studies

Etiology

Combined recession and resection of the same lateral Rectus in the treatment of exotropia.
Thouvenin D, Lequeux L, Bonifas C, Deboutte I
Eur J Ophthalmol 2024 May;34(3):874-879. Epub 2024 Feb 15 doi: 10.1177/11206721241229318. PMID: 38361386
Long-term Motor and Sensory Outcomes After Unilateral Medial Rectus Recession-Lateral Rectus Resection for Infantile Esotropia.
Mohan K, Sharma SK
J Pediatr Ophthalmol Strabismus 2024 Mar-Apr;61(2):106-113. Epub 2023 Aug 24 doi: 10.3928/01913913-20230721-01. PMID: 37615418
Surgical treatment and muscle protein analysis of V-pattern exotropia in craniosynostosis.
Liu Q, Li Y, Wang S, Zheng W, Ye H, Li W, Qiao T
Sci Rep 2022 Jul 7;12(1):11524. doi: 10.1038/s41598-022-15707-4. PMID: 35798790Free PMC Article
The stability of horizontal ocular alignment of triad exotropia after one-step triple surgery.
Wu L, Xia W, Li L, Xi S, Wang X, Wen W, Jiang C, Liu G, Zhao C
Graefes Arch Clin Exp Ophthalmol 2020 Apr;258(4):899-908. Epub 2020 Jan 14 doi: 10.1007/s00417-019-04599-2. PMID: 31932885
Pseudo inferior oblique overaction, clinical findings, mechanism, and surgical outcomes.
Akbari M, Salabati M, Mahmoudzadeh R, Mirmohammadsadeghi A
Graefes Arch Clin Exp Ophthalmol 2019 Sep;257(9):2043-2047. Epub 2019 Jun 15 doi: 10.1007/s00417-019-04384-1. PMID: 31203518

Diagnosis

Combined recession and resection of the same lateral Rectus in the treatment of exotropia.
Thouvenin D, Lequeux L, Bonifas C, Deboutte I
Eur J Ophthalmol 2024 May;34(3):874-879. Epub 2024 Feb 15 doi: 10.1177/11206721241229318. PMID: 38361386
Clinical significance of CTGF and Cry61 protein in extraocular muscles of strabismic patients.
Yu X, Shi S, Cui Y, Shentu X, Sun Z
Graefes Arch Clin Exp Ophthalmol 2023 Oct;261(10):2845-2851. Epub 2023 May 10 doi: 10.1007/s00417-023-06096-z. PMID: 37162563
Slipped Medial Rectus Muscle With Stretched Scar After Pterygium Surgery.
Sen P, Kumar A, Jain E, Mohan A
J Pediatr Ophthalmol Strabismus 2019 Apr 29;56:e34-e37. doi: 10.3928/01913913-20190326-02. PMID: 31034087
Apparent contralateral inferior oblique muscle overaction after unilateral inferior oblique muscle weakening procedures.
Stein LA, Ellis FJ
J AAPOS 1997 Mar;1(1):2-7. doi: 10.1016/s1091-8531(97)90016-1. PMID: 10530978
Congenital esotropia.
Nelson LB, Wagner RS, Simon JW, Harley RD
Surv Ophthalmol 1987 May-Jun;31(6):363-83. doi: 10.1016/0039-6257(87)90030-0. PMID: 3303394

Therapy

Slipped Medial Rectus Muscle With Stretched Scar After Pterygium Surgery.
Sen P, Kumar A, Jain E, Mohan A
J Pediatr Ophthalmol Strabismus 2019 Apr 29;56:e34-e37. doi: 10.3928/01913913-20190326-02. PMID: 31034087
A randomized clinical trial comparing myectomy and recession in the management of inferior oblique muscle overaction.
Rajavi Z, Molazadeh A, Ramezani A, Yaseri M
J Pediatr Ophthalmol Strabismus 2011 Nov-Dec;48(6):375-80. Epub 2011 Jan 25 doi: 10.3928/01913913-20110118-04. PMID: 21261241
Anterior and nasal transposition of the inferior oblique muscles.
Stager DR Jr, Beauchamp GR, Wright WW, Felius J, Stager D Sr
J AAPOS 2003 Jun;7(3):167-73. doi: 10.1016/s1091-8531(03)00003-x. PMID: 12825055
Combined resection and anterior transposition of the inferior oblique muscle for the treatment of moderate to large dissociated vertical deviation associated with inferior oblique muscle overaction.
Farvardin M, Attarzadeh A
J Pediatr Ophthalmol Strabismus 2002 Sep-Oct;39(5):268-72; quiz 293-4. doi: 10.3928/0191-3913-20020901-06. PMID: 12353898
Congenital esotropia.
Nelson LB, Wagner RS, Simon JW, Harley RD
Surv Ophthalmol 1987 May-Jun;31(6):363-83. doi: 10.1016/0039-6257(87)90030-0. PMID: 3303394

Prognosis

Combined recession and resection of the same lateral Rectus in the treatment of exotropia.
Thouvenin D, Lequeux L, Bonifas C, Deboutte I
Eur J Ophthalmol 2024 May;34(3):874-879. Epub 2024 Feb 15 doi: 10.1177/11206721241229318. PMID: 38361386
Long-term Motor and Sensory Outcomes After Unilateral Medial Rectus Recession-Lateral Rectus Resection for Infantile Esotropia.
Mohan K, Sharma SK
J Pediatr Ophthalmol Strabismus 2024 Mar-Apr;61(2):106-113. Epub 2023 Aug 24 doi: 10.3928/01913913-20230721-01. PMID: 37615418
The stability of horizontal ocular alignment of triad exotropia after one-step triple surgery.
Wu L, Xia W, Li L, Xi S, Wang X, Wen W, Jiang C, Liu G, Zhao C
Graefes Arch Clin Exp Ophthalmol 2020 Apr;258(4):899-908. Epub 2020 Jan 14 doi: 10.1007/s00417-019-04599-2. PMID: 31932885
Pseudo inferior oblique overaction, clinical findings, mechanism, and surgical outcomes.
Akbari M, Salabati M, Mahmoudzadeh R, Mirmohammadsadeghi A
Graefes Arch Clin Exp Ophthalmol 2019 Sep;257(9):2043-2047. Epub 2019 Jun 15 doi: 10.1007/s00417-019-04384-1. PMID: 31203518
Inferior Oblique Belly Transposition for Small Angle Hypertropia With Inferior Oblique Overaction: A Pilot Study.
Yang S, Guo X, Tien DR
J Pediatr Ophthalmol Strabismus 2018 Jan 1;55(1):43-46. Epub 2017 Oct 9 doi: 10.3928/01913913-20170801-04. PMID: 28991348

Clinical prediction guides

Combined recession and resection of the same lateral Rectus in the treatment of exotropia.
Thouvenin D, Lequeux L, Bonifas C, Deboutte I
Eur J Ophthalmol 2024 May;34(3):874-879. Epub 2024 Feb 15 doi: 10.1177/11206721241229318. PMID: 38361386
Long-term Motor and Sensory Outcomes After Unilateral Medial Rectus Recession-Lateral Rectus Resection for Infantile Esotropia.
Mohan K, Sharma SK
J Pediatr Ophthalmol Strabismus 2024 Mar-Apr;61(2):106-113. Epub 2023 Aug 24 doi: 10.3928/01913913-20230721-01. PMID: 37615418
Outcomes of inferior oblique myectomy versus recession combined with lateral rectus recession in V-pattern exotropias.
Bolton EM, Cheng O, Rossen JL, Bohnsack BL
J AAPOS 2023 Dec;27(6):341.e1-341.e6. Epub 2023 Nov 4 doi: 10.1016/j.jaapos.2023.09.007. PMID: 37926390
Comparison of Clinical Features and Long-term Surgical Outcomes in Infantile Constant and Intermittent Exotropia.
Na KH, Kim SH
J Pediatr Ophthalmol Strabismus 2016 Mar-Apr;53(2):99-104. Epub 2016 Feb 4 doi: 10.3928/01913913-20160122-05. PMID: 26848593
Lateral rectus recession with/without transposition in V-pattern exotropia without inferior oblique overaction.
Awadein A
Can J Ophthalmol 2013 Dec;48(6):500-5. Epub 2013 Oct 28 doi: 10.1016/j.jcjo.2013.05.003. PMID: 24314411

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