A four-month-old girl from Thane underwent complex corrective eye surgery after a muscle responsible for inward eye movement became displaced deep within the orbit following an earlier procedure to remove a dermoid cyst. The unusual position of the muscle, close to the optic nerve, posed a significant surgical challenge and required detailed imaging and a carefully planned approach. An Unusual Cause of Eye Misalignment The infant developed severe ocular misalignment after undergoing dermoid cyst removal at another facility. The medial rectus muscle had slipped from its insertion, resulting in a loss of normal eye alignment.

An earlier surgical exploration had failed to locate the displaced muscle, raising the possibility that it had migrated farther into the orbit. The case was subsequently referred to a private hospital in Thane for further management. With the patient only four months…