Jn. Bloom et al., A MAGNETIC-RESONANCE-IMAGING STUDY OF HORIZONTAL RECTUS MUSCLE PALSIES, Journal of pediatric ophthalmology and strabismus, 30(5), 1993, pp. 296-300
The assessment of extraocular muscle function is usually performed ind
irectly by an examination of ocular motility. We have utilized magneti
c resonance imaging, in both cine and static modes, to directly observ
e the contractility behavior of the extraocular muscles. This noninvas
ive technique was applied to the study of patients with horizontal rec
tus muscle palsies. In all cases, the palsied muscle was of a smaller
diameter than its normal counterpart. This size differential was noted
in all fields of gaze. Additional studies are required to determine t
he relative contributions of denervation atrophy and loss of tonus to
this diminution of muscle size.