[Silicone union of orbital periosteum and eyeball under muscle belly for treatment of strabismus fixus].
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.
Pei
Chong-gang
CG
Department of Ophthalmology, First Affiliated Hospital, Jangxi Medical College, Nanchang 330006, China. peichonggang@sina.com
Fu
Xin-yuan
XY
Miao
Chao-ying
CY
Gao
Gui-ping
GP
Zhong
Xiu-liang
XL
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
D012828:Silicones