Large-angle strabismus and primary true muscle transplantation.
BACKGROUND
Large-angle strabismus often demands a series of surgeries to achieve satisfactory alignment. This often necessitates bilateral surgery, which patients may be reluctant to undergo.


METHODS
Three patients with large-angle esotropia, not amenable to standard recession and resection procedures, underwent primary true muscle transplantation wherein a fragment of resected extraocular muscle was used to elongate the medial rectus muscle.


RESULTS
Postoperative deviation was within +/- 10 PD of orthophoria and was maintained at follow-up of 6 to 12 months. There was mild underaction of the weakened muscle.


CONCLUSIONS
True muscle transplantation is a good option because it permits correction of large-angle strabismus with two-muscle surgery, provides a satisfactory cosmetic alignment, and appears safe and predictable.
Amitava
A K
AK
Institute of Ophthalmology, JN Medical College, Aligarh Muslim University, Aligarh, India.
Goswami
Anup K
AK
Mishra
Amit
A
D000328:Adult; D002648:Child; D004948:Esotropia / Q000601:surgery*; D005133:Eye Movements; D005260:Female; D006801:Humans; D009801:Oculomotor Muscles / Q000637:transplantation*; D013508:Ophthalmologic Surgical Procedures; D013536:Suture Techniques; D015348:Vision, Binocular