Anomalous medial rectus muscle insertion in a child with craniosynostosis.

INTRODUCTION

Oblique and vertical rectus muscle anomalies have been commonly reported in patients with craniofacial syndromes, while horizontal rectus muscle anomalies have been uncommonly reported.

METHODS

Case report of a child with Crouzon's Syndrome who was found to have an anomalous medial rectus muscle insertion at surgery.

RESULTS

A bifid left medial rectus muscle insertion was found at surgery, requiring a small modification of the planned surgical procedure.

CONCLUSION

Anomalies of extraocular muscles may be present in patients with craniofacial syndromes and strabismus surgeons should be prepared to modify their surgical plan when anomalous extraocular muscles are found.