title: Unilateral congenital fibrosis of the extraocular muscles with lid retraction: surgical treatment with a silicon plate on the orbital floor.
abstract: Fibrosis of the extraocular muscles can be an acquired or congenital disorder (CFEOM). The congenital disorder(1) is a complex strabismus with congenital restrictive ophthalmoplegia with or without ptosis. The surgery is challenging because the eye muscles are replaced by fibrous tissue or fibrous bands and in most cases the results are not satisfactory. We present the first case report of unilateral CFEOM with palpebral adherence and hypotropia, which was managed with our technique of a silicon plate implant on the orbital floor. The purpose of the implantation of the silicon plate in the orbital floor is to improve the hypotropia caused by CFEOM.
authors.affiliation: Institute of Ophthalmology, Fundación Conde de Valenciana, Strabismus Department, Mexico City, Mexico. iomurillo@hotmail.com
authors.forename: Claudia E
authors.initials: CE
authors.lastname: Murillo-Correa
authors.forename: Martha
authors.initials: M
authors.lastname: Jaimes
authors.forename: Fernando
authors.initials: F
authors.lastname: Martin
authors.forename: Jessica
authors.initials: J
authors.lastname: Vargas-Ortega
authors.forename: Angel
authors.initials: A
authors.lastname: Nava-Castañeda
mesh_terms: D002648:Child; D005141:Eyelid Diseases / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D005355:Fibrosis / Q000151:congenital; D007839:Functional Laterality; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009801:Oculomotor Muscles / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D009886:Ophthalmoplegia / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D009915:Orbit / Q000601:surgery*; D012826:Silicone Elastomers / Q000627:therapeutic use*; D013285:Strabismus / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed
chemical_list: D012826:Silicone Elastomers