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An 81-year-old woman presented for a routine follow-up of her dry age-related macular
degeneration (Fig. 1A). She had normal eye balance and no history of strabismus. Optical coherence tomography
(OCT) radial scan, using Triton OCT (Topcon, Tokyo, Japan), showed a round area behind
the sclera, slightly inferior to the macula in her right eye (Fig. 1B, 1C). The vertical
cuts (Fig. 1D) showed its fascicular organization. The morphology and position suggest
that this structure was the inferior oblique muscle. This is probably the first report
on the potential of OCT to visualize the inferior oblique muscle in patients with
severe chorioretinal atrophy.
Fig. 1Imaging the inferior oblique using optical coherence tomography.