Rectus eye muscle paths after surgical correction of convergent strabismus fixus

PURPOSE: To present a new surgical procedure for convergent strabismus fixus. DESIGN: Interventional case report METHODS: A 69-year-old woman was referred to us because of esotropia of both eyes. Both eyes were fixed in a position of extreme adduction, and ocular motility was severely restricted in...

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Bibliographic Details
Published in:American journal of ophthalmology 2002-10, Vol.134 (4), p.630-632
Main Authors: Yamada, Masakazu, Taniguchi, Sayuri, Muroi, Tomomi, Satofuka, Shingo, Nishina, Sachiko
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Eye Movements
Female
Fixation, Ocular
Humans
Magnetic Resonance Imaging
Medical sciences
Oculomotor disorders
Oculomotor Muscles - pathology
Oculomotor Muscles - physiopathology
Oculomotor Muscles - surgery
Ophthalmology
Strabismus - diagnosis
Strabismus - physiopathology
Strabismus - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Treatment Outcome
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Summary:PURPOSE: To present a new surgical procedure for convergent strabismus fixus. DESIGN: Interventional case report METHODS: A 69-year-old woman was referred to us because of esotropia of both eyes. Both eyes were fixed in a position of extreme adduction, and ocular motility was severely restricted in all directions. Magnetic resonance imaging demonstrated that the superior rectus (SR) was deviated nasally and the lateral rectus (LR) was deviated inferiorly. We performed operations for both eyes consisting of hemitranspositions of the SR and LR combined with a large recession of the medial rectus. RESULTS: Postoperatively, the patient became able to fixate in primary gaze and ocular motility markedly improved in all directions. Magnetic resonance imaging confirmed that the paths of the SR and LR were corrected. CONCLUSIONS: This surgical procedure appears to be a useful option for treating convergent strabismus fixus.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(02)01587-8