Divergent Strabismus Fixus - A Case Report

Strabismus fixus is a rare condition and usually is of convergent type in which one or both eyes are anchored in a position of extreme adduction. Convergent type strabismus fixus is considered to be a congenital disorder (1) and a part of congenital extraocular muscle fibrosis syndrome (1). Villasecca (2) and Martinez (4) described an acquired type of strabismus fixus. Hayashi et al (3) reported that progressive esotropia could develop into the acquired type of convergent strabismus fixus. There are very few reports of divergent strabismus fixus in the literature. It may or may not be accompanied by ptosis or generalized extraocular muscle fibrosis. In our report, a case of divergent type strabismus fixus is described and discussed.