Lateral fixation of sclera to the periosteum with medial rectus disinsertion for severe myopic strabismus fixus.
Myopic strabismus fixus is characterized by severe ocular motility restriction with the development of progressive esotropia and hypotropia. Management of severe cases with strongly positive forced duction test can be challenging. We describe a longstanding case of myopic strabismus fixus, which was managed by bilateral medial rectus disinsertion and scleral fixation laterally to the periosteum.
Murthy
Ramesh
R
Department of Pediatric Ophthalmology and Strabismus, Oculoplasty and Ocular Oncology, L.V. Prasad Eye Institute, Kallam Anji Reddy Campus, Banjara Hills, Hyderabad, India. rameshmurthy@lvpei.org
D000368:Aged; D004948:Esotropia / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005133:Eye Movements / Q000502:physiology; D006801:Humans; D008297:Male; D009216:Myopia / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D009801:Oculomotor Muscles / Q000503:physiopathology / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures / Q000379:methods*; D009915:Orbit; D010521:Periosteum / Q000601:surgery*; D012029:Refraction, Ocular / Q000502:physiology; D012590:Sclera / Q000601:surgery*; D012720:Severity of Illness Index; D013536:Suture Techniques