A Case of Rectus Muscle Transposition With Silicone Band in Strabismus Fixus With High Myopia.
10.3341/jkos.2009.50.7.1128
- Author:
Jun Sung LEE
1
;
Hwan HEO
;
Sang Woo PARK
;
Yeoung Geol PARK
Author Information
1. Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju, Korea. exo70@jnu.ac.kr
- Publication Type:Case Report
- Keywords:
High myopia;
Silicone band;
Strabismus fixus
- MeSH:
Aged;
Cornea;
Esotropia;
Eye;
Female;
Humans;
Lens, Crystalline;
Muscles;
Myopia;
Retina;
Retinal Detachment;
Sclera;
Silicones;
Strabismus;
Sutures;
Tendons
- From:Journal of the Korean Ophthalmological Society
2009;50(7):1128-1132
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To present a surgical result of rectus muscle transposition with silicone band without suture on the sclera in strabismus fixus with high myopia. CASE SUMMARY: A 73-year-old female patient with a 20-year history of bilateral esotropia and hypotropia visited our clinic. The patient`s right eye was aphakic because crystalline lens removal was performed 17 years earlier and the left eye was phthisical after retinal detachment, due to high myopia. Ocular movements in both eyes were severely restricted in all directions with the cornea barely visible. Ultrasound examination revealed posterior staphyloma of the retina. The axial length measurement was 32 mm in the right eye, and could not be measured in the left eye. Posterior tenon fixation of the medial rectus and inferior rectus muscle tendon was performed, in addition, fixation of the lateral half of the superior rectus and superior half of the lateral rectus muscle on the silicone band 10 mm posterior to each muscle's scleral insertion as a transposition procedure was performed. At 6 months postoperatively, there was no residual esotropia or hypotropia. The right eye maintained a gaze limitation but improved abduction and supraduction. CONCLUSIONS: In strabismus fixus with high myopia, posterior tenon fixation and muscle transposition with silicone band is an effective method without complication.
