Surgical treatment of exotropia after surgically produced pseudoparalysis of the medial rectus muscle.
The characteristic clinical findings of pseudoparalysis of the medial rectus muscle include exotropia in primary position, widened medial fissure on the affected side, limitation of adduction on the affected side, an A-pattern exotropia, and a paradoxical forced-traction test. We have devised a surgical technique to restore good movement of the eye in adduction. The priniciple behind the technique is that all adhesions between Tenon's capsule covering the muscle and conjunctiva, and between muscle and sclera must be found and cut posterior to the fornix. This will allow the muscle to be brought forward easily so that it can be resected and advanced for restoration of function.
D000293:Adolescent; D002921:Cicatrix / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008722:Methods; D009801:Oculomotor Muscles / Q000601:surgery*; D009886:Ophthalmoplegia / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications; D013285:Strabismus / Q000601:surgery*; D000267:Tissue Adhesions