Yokoyama procedure for a woman with heavy eye syndrome who underwent multiple recession-resection operations: A case report

Figure 1 Pre- and postoperative clinical photographs of patient’s younger sister. A: Preoperative photograph showing the esotropia and the limitation of abduction in both eyes; B: Orbital computed tomography showing the displaced lateral rectus muscle inferiorly and superior rectus muscle medially; C: Postoperative photograph showing satisfactory alignment of both eyes with significantly improved abduction of left eye 6 mo after surgery. SR: Superior rectus; LR: Lateral rectus.

Figure 2 Preoperative clinical photographs. A: Preoperative photograph showing the esotropia and hypotropia and the limitation of abduction and elevation in both eyes; B: Orbital computed tomography (CT) showing the displaced lateral rectus muscle inferiorly and superior rectos muscle medially; C: Orbital CT showing a suspected reattachment of the left medial rectus muscle to the globe (arrows). R: Superior rectus; LR: Lateral rectus.

Figure 3 Postoperative clinical photographs. A: Postoperative photograph showing small exotropia measuring 5-10° at 1 d; B: Postoperative photograph showing satisfactory alignment of both eyes with significantly improved abduction 6 mo after surgery.