title: Periosteal Fixation Procedures in the Management of Incomitant Strabismus.
abstract: Managing a case of incomitant strabismus from nerve palsy or extraocular muscle loss is a major challenge. Among possible management options are globe or extraocular muscle fixation to the orbital wall coupled with weakening or strengthening of the relevant antagonist. Extraocular muscle fixation to the orbital wall can also be used in cases of abnormal synkinesis to eliminate the abnormal eye movements of a misfiring extraocular muscle, which thereby allows the use of standard paralytic strabismus surgery techniques. This review article summarizes indications and techniques of periosteal fixation procedures for incomitant strabismus.
authors.affiliation: Department of Ophthalmology, Dr. Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Rohit
authors.initials: R
authors.lastname: Saxena
authors.affiliation: Department of Ophthalmology, Dr. Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Swati
authors.initials: S
authors.lastname: Phuljhele
authors.affiliation: Department of Ophthalmology, Dr. Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Sharma
authors.affiliation: Department of Ophthalmology, Dr. Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: C N
authors.initials: CN
authors.lastname: Pinto
mesh_terms: D004370:Duane Retraction Syndrome / Q000150:complications*; D006801:Humans; D009801:Oculomotor Muscles / Q000601:surgery*; D015840:Oculomotor Nerve Diseases / Q000150:complications*; D013508:Ophthalmologic Surgical Procedures; D009886:Ophthalmoplegia / Q000150:complications*; D013285:Strabismus / Q000209:etiology / Q000601:surgery*
keywords: Duane's Retraction Syndrome; Globe Fixation Procedure; Paralytic Squint; Periosteal Anchor; Third Nerve Palsy