Supernumerary Medial Rectus Muscle of the Orbit

Supernumerary extraocular muscles (EOMs) are relatively rare in humans compared to other species. Therefore, few cases are reported on pediatric patients with strabismus. We describe a case of an incidental intraoperative finding of a right eye accessory medial rectus (MR) muscle in a child with normal ocular motility. This supernumerary muscle was found inserted underneath the original MR muscle and was of a similar size. In this article, we discuss the anomaly and its clinical relevance.