PURPOSE: To report an elevation deficit, which was caused by an access
ory extraocular muscle, in a 6-year-old boy. METHODS: Computed tomogra
phy and magnetic resonance imaging were used to confirm an accessory,
fusiform, well-defined, solid structure in the retrobulbar space. RESU
LTS: A supernumerary intraconal muscle was detected between the annulu
s of Zinn and the posterior part of the left globe. CONCLUSION: This r
are anomaly may represent an atavistic retractor bulbi muscle.