Anterior segment ischemia after the Jensen procedure in a 10-year-old patient.
OBJECTIVE
We recently encountered anterior segment ischemia in a young healthy girl with traumatic abducens nerve palsy after the Jensen procedure and ipsilateral recession of the medial rectus muscle. The patient was treated with topical dexamethasone and homatropine 2% and oral prednisone.


CONCLUSIONS
The patient's condition improved, and six weeks postoperatively, visual acuity was 20/20. As this complication of anterior segment ischemia is potentially serious and unpredictable, we think that an alternative surgical approach should be used when treating patients with muscle palsies.
Bleik
J H
JH
Pediatric Ophthalmology Service, Beirut Eye Specialist Center, Rizk Hospital, Lebanon.
Cherfan
G M
GM
D000010:Abducens Nerve / Q000601:surgery; D020222:Abducens Nerve Injury; D000869:Anterior Eye Segment / Q000098:blood supply*; D002648:Child; D003389:Cranial Nerve Diseases / Q000209:etiology / Q000601:surgery; D005131:Eye Injuries / Q000150:complications; D005260:Female; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D009801:Oculomotor Muscles / Q000601:surgery; D010243:Paralysis / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications; D014792:Visual Acuity