<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-2176</journal-id>
<journal-title><![CDATA[Revista Cubana de Oftalmología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Oftalmol]]></abbrev-journal-title>
<issn>0864-2176</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-21762019000300013</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Deficiencia monocular de la elevación con esotropía]]></article-title>
<article-title xml:lang="en"><![CDATA[Monocular elevation deficiency with esotropia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sibello Deustua]]></surname>
<given-names><![CDATA[Sirley]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Perugorría]]></surname>
<given-names><![CDATA[Arianni]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pons Castro]]></surname>
<given-names><![CDATA[Lucy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Naranjo Fernández]]></surname>
<given-names><![CDATA[Rosa María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez Sánchez]]></surname>
<given-names><![CDATA[Teresita de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Cubano de Oftalmología "Ramón Pando Ferrer"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2019</year>
</pub-date>
<volume>32</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21762019000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21762019000300013&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21762019000300013&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La deficiencia monocular de la elevación se define como la limitación de la elevación del ojo afectado desde cualquier posición de la mirada, con ducciones normales en todas las demás posiciones. La pseudoptosis se puede presentar en posición primaria de la mirada; sin embargo, el 25 % de los casos puede mostrar una ptosis verdadera. Se presenta un paciente masculino de 11 años de edad con antecedentes de estrabismo hacia adentro desde que nació, quien llevó tratamiento con oclusiones y cristales desde el primer año de edad. Al examen oftalmológico presentaba una agudeza visual mejor corregida de 1,0/0,4; a 6 metros en el ojo derecho 30 &#8710; b externa ~18 &#8710; b superior y en el ojo izquierdo 30 &#8710; b externa ~18 &#8710; b inferior; a 33 centímetros en el ojo derecho 30 &#8710; b externa ~25 &#8710; b superior y en el ojo izquierdo 30 &#8710; b externa ~25 &#8710; b inferior y limitación de la elevación en todas las posiciones horizontales de la mirada en el ojo derecho. Se realizó la prueba de ducción forzada y se encontró una restricción del recto inferior derecho, por lo que se decidió retroinsertar este músculo y ambos rectos medios. Se indicó la corrección óptica y la rehabilitación con oclusiones que mejoró la visión a 1,0/0,7. La cirugía correctiva logró la ortotropía y la mejoría de la agudeza visual.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Monocular elevation deficiency is defined as a limitation in the elevation of the affected eye from any position of gaze with normal ductions in all other positions. Pseudoptosis may occur in the primary position of gaze, but 25% of the cases are true ptosis. A case is presented of a male 11-year-old patient with a history of inward strabismus since birth, treated with occlusions and lenses as of his first year of life. At ophthalmological examination, best corrected visual acuity was 1.0/0.4; at 6 meters in the right eye 30 &#8710; b outer ~18 &#8710; b upper, and in the left eye 30 &#8710; b outer ~18 &#8710; b lower; at 33 centimeters in the right eye 30 &#8710; b outer ~25 &#8710; b upper, and in the left eye 30 &#8710; b outer ~25 &#8710; b lower, and elevation limitation in all horizontal gaze positions of the right eye. The forced duction test revealed a restriction in the lower right rectus muscle. It was thus decided to insert back the right rectus muscle and both medial rectus muscles. Optical correction and rehabilitation with occlusions improved the patient's vision to 1.0/0.7. Corrective surgery achieved orthotropy and improved visual acuity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Deficiencia monocular de la elevación]]></kwd>
<kwd lng="es"><![CDATA[pseudoptosis]]></kwd>
<kwd lng="es"><![CDATA[defecto supranuclear]]></kwd>
<kwd lng="en"><![CDATA[Monocular elevation deficiency]]></kwd>
<kwd lng="en"><![CDATA[pseudoptosis]]></kwd>
<kwd lng="en"><![CDATA[supranuclear defect]]></kwd>
</kwd-group>
</article-meta>
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