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• 영문명: A Case of Rectus Muscle Transposition With Silicone Band in Strabismus Fixus With High Myopia
• 발행기관: 대한안과학회
• 저자명: 이준성 허환 박상우 박영걸,Jun Sung Lee, MD, Hwan-Heo, MD, Sang Woo Park, MD, Yeoung Geol Park, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number7, 1128~1132쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.07.15

영문 초록

Purpose: To present a surgical result of rectus muscle transposition with silicone band without suture on the sclera in strabismus fixus with high myopia. Case summary: A 73-year-old female patient with a 20-year history of bilateral esotropia and hypotropia visited our clinic. The patient`s right eye was aphakic because crystalline lens removal was performed 17 years earlier and the left eye was phthisical after retinal detachment, due to high myopia. Ocular movements in both eyes were severely restricted in all directions with the cornea barely visible. Ultrasound examination revealed posterior staphyloma of the retina. The axial length measurement was 32 mm in the right eye, and could not be measured in the left eye. Posterior tenon fixation of the medial rectus and inferior rectus muscle tendon was performed, in addition, fixation of the lateral half of the superior rectus and superior half of the lateral rectus muscle on the silicone band 10 mm posterior to each muscle’s scleral insertion as a transposition procedure was performed. At 6 months postoperatively, there was no residual esotropia or hypotropia. The right eye maintained a gaze limitation but improved abduction and supraduction. Conclusions: In strabismus fixus with high myopia, posterior tenon fixation and muscle transposition with silicone band is an effective method without complication.

키워드

High myopia, Silicone band, Strabismus fixus