title: [Silicone union of orbital periosteum and eyeball under muscle belly for treatment of strabismus fixus].
abstract: OBJECTIVE
  To evaluate the effect of silicone union of orbital periosteum and eyeball under muscle belly on the treatment of fixed paralytic strabismus.
  
  
  METHODS
  The data from 23 cases (23 eyes) which included esotropia (22 eyes) and exotropia (1 eye) was collected, 11 and 12 patients were diagnosed as complete-fixed strabismus (CFS) and sub-fixed strabismus (SFS) respectively. After antagonist recession was completed, a silicone union (1 mm of its diameter) was used to make a connection between the anterior sclera of paralytic muscle insertion and lateral or medial canthus periosteum of orbital. Eyeball position was adjusted to orthophoria by the traction of silicone union.
  
  
  RESULTS
  Orthophoria was obtained in all of 23 eyes. Eyes rotation compared with normal eye toward paralytic side were 25% (5 eyes), 50% (2 eyes), 75% (3 eyes) respectively after surgery.
  
  
  CONCLUSIONS
  Silicone union is a elastic material, it is one of better methods for the correction of fixed strabismus.
authors.affiliation: Department of Ophthalmology, First Affiliated Hospital, Jangxi Medical College, Nanchang 330006, China. peichonggang@sina.com
authors.forename: Chong-gang
authors.initials: CG
authors.lastname: Pei
authors.forename: Xin-yuan
authors.initials: XY
authors.lastname: Fu
authors.forename: Chao-ying
authors.initials: CY
authors.lastname: Miao
authors.forename: Gui-ping
authors.initials: GP
authors.lastname: Gao
authors.forename: Xiu-liang
authors.initials: XL
authors.lastname: Zhong
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005133:Eye Movements; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D009915:Orbit / Q000601:surgery; D012828:Silicones / Q000627:therapeutic use; D013285:Strabismus / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D012828:Silicones