Article
Pulled-in-two syndrome in a young woman with restrictive strabismus and rare genetic mutation.
Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus - 1 Feb 2026
Navarrete Ana, Azem Nur, Eiger-Moscovich Maya, Mechoulam Hadas, Anteby Irene
Abstract excerpt
Pulled-in-two syndrome (PITS) is a rare but serious complication of strabismus surgery, with a reported incidence of once every decade among strabismus surgeons. It occurs more commonly in patients of advanced age and those with cranial nerve palsies or who have undergone prior surgeries. We present a case of PITS in a young female, diagnosed following surgery with a hereditary myosin myopathy.
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